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Acute Flaccid Myelitis: What OTs Need To Know (Part 1)

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1.  AFM and Polio are
  1. The same thing
  2. Caused by the same virus
  3. Similar in presentation, but caused by different viruses
  4. Not the same, because Polio no longer exists
2.  What is true about cases of AFM in the United States?
  1. Are declining
  2. Spike every year
  3. Are isolated to the south
  4. Spike every other year
3.  To have a confirmed case of AFM, a patient must have acute onset of focal weakness AND
  1. Involvement of the gray matter on MRI
  2. Longitudinally extensive involvement
  3. Pleocytosis in the CSF
  4. Absent reflexes
4.  Which of the following is a symptom NOT associated with AFM?
  1. Cranial nerve dysfunction
  2. Spasticity
  3. Flaccid paralysis
  4. Pulmonary insufficiency
5.  A pathogen has been confirmed in
  1. Most cases of AFM
  2. Very few cases of AFM
  3. As the singular cause of AFM
  4. As transmitted through the air to cause AFM
6.  The CDC is doing which of the following to monitor AFM?
  1. Developing an expert task force
  2. Testing mosquitos
  3. Collecting urine samples from all affected patients
  4. Providing microchips to all affected patients
7.  When diagnosing AFM, providers might also consider
  1. Guillian-Barre Syndrome
  2. Stroke
  3. Brain injury
  4. Ankle sprain
8.  Which of the following is an acute medical intervention for AFM?
  1. Steroids
  2. Antiviral medication
  3. Plasmapheresis
  4. There is no data to support any specific acute medical intervention.
9.  Vigilant supportive care should include
  1. IVIG
  2. Continuous blood pressure monitoring
  3. Supportive mechanical ventilation
  4. Separation from parents
10.  Which of the following is NOT a role for OTs in acute care?
  1. Aggressive upright mobility
  2. Assist family with coping and education
  3. Positional tolerance
  4. Prevention of contracture or joint deformity

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