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Assessment and Management of Amyotrophic Lateral Sclerosis

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1.  Which of the following is considered a clinical sign of ALS?
  1. Unremarkable spirometry values
  2. Fasciculations
  3. Eupnea
  4. Normal mucociliary function
2.  An example of the respiratory therapist's role in ALS assessment/management includes:
  1. Monitoring lung function
  2. Airway clearance
  3. Ventilator management
  4. All of the above
3.  During pulmonary function testing, abnormal values may be evidenced in which of the following parameters?
  1. Maximum inspiratory pressure / Maximum expiratory pressure (MIP/MEP)
  2. Peak inspiratory pressure
  3. Minute ventilation
  4. Respiratory rate
4.  Current CMS guidelines for noninvasive ventilation (NIV) support include an ALS diagnosis and with one or more of the following criteria:
  1. Oxygen saturation at 100%
  2. Normal PaCO2 values
  3. MIP greater than -120 cm H20
  4. Reduced forced vital capacity (FVC)
5.  Tracheostomy placement for ALS patients ranges approximately between:
  1. 2-15%
  2. 20-25%
  3. 30-48%
  4. 50-75%

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