Blog

Section 2: Matching (confirmatory signs) You will fill out the answers for this section in Section 2 of the paper component of the exam.  Indicate which MSD(s) is/are associated with each confirmatory sign (can be more than one MSD).  2 points per confirmatory sign. Note: the checkbox below is just so you can indicate to Canvas that you are done with this question. 

What bone(s) is considered the antebrachium?

Shuffling gait – Huntington’s disease

Which of the two video files below do you think most likely corresponds to this patient? Explain your answer, using specific observations about each person. Video 1:    Video 2:

Etiologies and confirmatory signs For each of the following confirmatory sign – neurological disorder pairs, state: Whether you would expect to see that confirmatory sign accompanying that disorder (2 points), and Why/why not. You must justify your response by talking about what neural structure(s) the disorder can affect, and how the symptom would be generated by damage to that/those structure(s). (8 points)  

Describe differences in perceptual characteristics relating to PHONATION, ARTICULATION, and RESPIRATION that you observe between the third repetition of the grandfather passage (2:09 – 3:03) and the fourth repetition of the grandfather passage (5:57 – 6:50). Refer to specific sounds or words for your observations. 

What information do you gain from the oral mechanism/physical exam (1:31 – 2:40)? Give at least two pieces of information that would help you towards a diagnosis. 

Case study 1 The following four questions will refer to this case information.  — An 83-year-old woman was admitted to the hospital after her spouse noticed a sudden onset of “garbled” speech. Neurologic examination in the ER noted left-hand weakness, dysphagia, and hyperactive reflexes. The neurologist noted speech difficulty, including decreased intelligibility, and requested SLP consult.  You speak with the patient when she first arrives at your office. She says it feels “difficult” to speak and that she feels tight. She also tells you that about a year ago, she suddenly developed some difficulty speaking clearly and with swallowing, as well as clumsiness in her right hand, but all of those issues went away in about a week. During this conversation, you note a hoarse, strained voice throughout, as well as decreased modulation of both pitch and loudness. You also note widespread articulatory imprecision.  During oral mechanism examination, you note the following:  Reduced range of movement in both smile and pucker, especially when trying to move between the postures quickly Reduced range of movement in tongue lateralization, especially when trying to move from side to side quickly During DDK tasks, you note the following:  Slow but regular rate Imprecise articulation for all three places of articulation (pa, ta, ka)  Hypernasality

Speech symptoms and neural circuits For each of the following speech symptoms, discuss whether they could be caused by damage to the excitatory BG circuit, the inhibitory BG circuit, and/or the cerebellum. Justify your answers, referring to what each control circuit does. 

Calculate the drug dose. Round to the nearest tenth.  Cerenia 10mg/mL     Dosage of 2mg/mk Dog Wt: 30 lbs