SCI

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Frage 1 von 47

I can think of at least three indirect causes for spinal cord injury.

Select False to review a few answers at the end of the quiz.

Wähle eins der folgenden:

WAHR
FALSCH

Erklärung

Frage 2 von 47

Cervical trauma caused by rapid deceleration (as in a head on collision), is NOT likely to result in neurological injury.

Wähle eins der folgenden:

WAHR
FALSCH

Erklärung

Frage 3 von 47

Diving into a shallow pool may cause a Tear Drop Fracture.
Which of the following describes the MOI?

Wähle eine der folgenden:

Extreme cervical flexion with axial loading
Cervical Flexion
Cervical Flexion with Rotation
Cervical Extension

Erklärung

Frage 4 von 47

Diving into a shallow pool is likely to cause which of the following types of cervical injuries?

Wähle eine oder mehr der folgenden:

Extreme Flexion with Axial Loading
Vertical Compression
Flexion with Rotation
Flexion
Extension
Lateral Flexion

Erklärung

Frage 5 von 47

Which of the following types of cervical injuries generally result in stable fractures without neurological involvement?

Wähle eine oder mehr der folgenden:

Extreme Flexion with Axial Loading
Vertical Compression
Flexion with Rotation
Flexion
Extension
Lateral Flexion

Erklärung

Frage 6 von 47

A Hangman's Fracture is generally caused by which of the following traumatic cervical movements?

Wähle eine der folgenden:

Flexion
Flexion with Axial Loading
Extension
Vertical Compression

Erklärung

Frage 7 von 47

An SCI due to cervical extension, is commonly caused by which of the following MOIs?

Wähle eine oder mehr der folgenden:

Falling and striking the chin from below
Getting rear-ended (MVA)
Head-on Collision (MVA)
Diving into a shallow pool

Erklärung

Frage 8 von 47

Thoracic SCI are most commonly caused by traumatic movements in which of the following directions?

Wähle eine der folgenden:

Flexion
Extension
Flexion with Rotation
Vertical Compression
Extension with Lateral Flexion

Erklärung

Frage 9 von 47

Which of the following is the most likely traumatic movement of the lumbar spine resulting in SCI following a MVA?

Wähle eine der folgenden:

Flexion with Distraction
Flexion
Flexion with Rotation
Shear
Vertical Compression

Erklärung

Frage 10 von 47

Which of the following is likely to cause an SCI via Shear forces?

Wähle eine oder mehr der folgenden:

Head-on MVA
Rear-End Collision MVA
Being struck from behind by a heavy object
Falling onto an uneven surface (e.g. landing flat across a parking curb)
Diving into a shallow pool

Erklärung

Frage 11 von 47

I can list the 4 mechanisms of secondary tissue destruction following an SCI.

If not, select false to review them at the end of the quiz.

Wähle eins der folgenden:

WAHR
FALSCH

Erklärung

Frage 12 von 47

Name that syndrome

Wähle eine der folgenden:

Central Cord Syndrome
Brown Sequard Syndrome
Anterior Cord Syndrome
Posterior Cord Syndrome

Erklärung

Frage 13 von 47

Name that Syndrome

Wähle eine der folgenden:

Central Cord Syndrome
Brown Sequard Syndrome
Anterior Cord Syndrome
Posterior Cord Syndrome

Erklärung

Frage 14 von 47

Name that Syndrome

Wähle eine der folgenden:

Central Cord Syndrome
Brown Sequard Syndrome
Anterior Cord Syndrome
Posterior Cord Syndrome

Erklärung

Frage 15 von 47

Which syndrome is most likely to occur from the following MOI?
Mechanism of Injury (MOI): central hemorrhage and necrosis that does not progress outward, usually extension injuries in the elderly, but can also occur with flexion injuries

Wähle eine der folgenden:

Central Cord Syndrome
Brown Sequard Syndrome
Anterior Cord Syndrome
Posterior Cord Syndrome

Erklärung

Frage 16 von 47

Which syndrome is most likely to occur from the following MOI?
MOI: gun shot or stab wounds, flexion with rotation, burst fractures

Wähle eine der folgenden:

Central Cord Syndrome
Brown Sequard Syndrome
Anterior Cord Syndrome
Posterior Cord Syndrome

Erklärung

Frage 17 von 47

Which syndrome is most likely to occur from the following MOI?
MOI: trauma to cord itself, damage to anterior spinal artery, damage from a tear drop or burst fracture

Wähle eine der folgenden:

Central Cord Syndrome
Brown Sequard Syndrome
Anterior Cord Syndrome
Posterior Cord Syndrome

Erklärung

Frage 18 von 47

Which syndrome is most likely to occur from the following MOI?
MOI: cervical hyperextension injuries

Wähle eine der folgenden:

Central Cord Syndrome
Brown Sequard Syndrome
Anterior Cord Syndrome
Posterior Cord Syndrome

Erklärung

Frage 19 von 47

Select the proper symptoms of Conus Medullaris Syndrome and Cauda Equina Syndrome.

Wähle eine oder mehr der folgenden:

Areflexic bowel and bladder
Hyperreflexic bowel and bladder
Flaccid paralysis of LE
Flaccid paralysis of UE
Hypertonicity of LE
Hypertonicity of UE

Erklärung

Frage 20 von 47

Despite a dearth of supprotive clinical evidence, there are several commonly used neuroprotective pharmaceuticals (Methylprednisone, GM-1, Gacyclidine, Tirilazad, and Naloxone).

Wähle eins der folgenden:

WAHR
FALSCH

Erklärung

Frage 21 von 47

For a patient that needs stability for the cervical spine in all directions, which of the following orthosis would be good choices?

Wähle eine oder mehr der folgenden:

Halo
Minerva
SOMI
Philadelphia Collar

Erklärung

Frage 22 von 47

For a patient that needs stability for the upper and mid cervical spine in flexion, which of the following orthosis would be good choices?

Wähle eine der folgenden:

Halo
Minerva
SOMI
Philadelphia Collar

Erklärung

Frage 23 von 47

For a patient that needs stability for the mid and lower cervical spine in flexion, which of the following orthosis would be good choices?

Wähle eine der folgenden:

Halo
Minerva
SOMI
Philadelphia Collar

Erklärung

Frage 24 von 47

Which of the following orthoses would be best if you needed to limit all trunk movements?

Wähle eine der folgenden:

TLSO
Jewett Hyperextension Brace
Knight Taylor Brace
LSO

Erklärung

Frage 25 von 47

Which of the following orthoses would be best if you needed to limit flexion, but encourage extension of the the lower thoracic and upper lumbar spine?

Wähle eine der folgenden:

TLSO
Jewett Hyperextension Brace
Knight Taylor Brace
LSO

Erklärung

Frage 26 von 47

Which of the following orthoses would be best if you needed to limit lumbar flexion, extension, and lateral flexion, but allow thoracic rotation?

Wähle eine der folgenden:

TLSO
Jewett Hyperextension Brace
Knight Taylor Brace
LSO

Erklärung

Frage 27 von 47

Of the following orthoses, which one is not generally used as part of a post-surgical rehab plan, because it doesn't actually limit movements in the spine?

Wähle eine der folgenden:

TLSO
Jewett Hyperextension Brace
Knight Taylor Brace
LSO

Erklärung

Frage 28 von 47

If you didn't need to limit spinal movements, but simply provide kinesthetic reminders to the patient, which of the following orthoses would be appropriate?

Wähle eine der folgenden:

TLSO
Jewett Hyperextension Brace
Knight Taylor Brace
LSO

Erklärung

Frage 29 von 47

To prevent ulcers and respiratory infections, how frequently should a patient be rolled in bed?

Wähle eine der folgenden:

Every 15-minutes
Every hour
Every 2-hours
Twice a day

Erklärung

Frage 30 von 47

How often should a patient in a wheelchair perform pressure relief?

Wähle eine der folgenden:

Every 5-minutes
Every 10-15-minutes
Every 30-60-minutes
Once a day

Erklärung

Frage 31 von 47

Which of the following are the proper precautions for a Cervical Collar or Halo?

Wähle eine oder mehr der folgenden:

No Prone
No Lifting >5-lbs unilaterally
No Hip Flexion >90-degrees
No SLR >60-degrees
Logrolling only
No Shoulder ABD or Flexion >90-degrees
No Shoulder ABD >90-degrees
No Cervical Ext >60-degrees
No Supine
No Hip Extension past Neutral

Erklärung

Frage 32 von 47

Which of the following are the proper precautions for a TLSO?

Wähle eine oder mehr der folgenden:

No Prone
No Lifting >5-lbs unilaterally
No Hip Flexion >90-degrees
No SLR >60-degrees
Logrolling only
No Shoulder ABD or Flexion >90-degrees
No Shoulder ABD >90-degrees
No Cervical Ext >60-degrees
No Supine
No Hip Extension past Neutral

Erklärung

Frage 33 von 47

Which of the following are the proper precautions for a LSO?

Wähle eine oder mehr der folgenden:

No Prone
No Lifting >5-lbs unilaterally
No Hip Flexion >90-degrees
No SLR >60-degrees
Logrolling only
No Shoulder ABD or Flexion >90-degrees
No Shoulder ABD >90-degrees
No Cervical Ext >60-degrees
No Supine
No Hip Extension past Neutral

Erklärung

Frage 34 von 47

Which of the following activities violate Scapular Precautions for patients with tetrapelgia (or high paraplegia) and a surgical incision through the trapezius?

Wähle eine oder mehr der folgenden:

Using arms to pull on bed rail during rolling
Cardio exercise with the UE bike
Push-up Pressure Relief
Reaching for a cup on the bedside table
Reaching for a cup on the lapboard
Independent Transfer with a Slideboard
Independent Transfer without a Slideboard
Lat Pull-downs with Resistance Band
Bicep Curls with Resistance Band

Erklärung

Frage 35 von 47

Patients with SCI will lose the ability to shiver or sweat BELOW the level of lesion because of the loss of sympathetic and somatic systems. This is a complication of thermoregulation.

Wähle eins der folgenden:

WAHR
FALSCH

Erklärung

Frage 36 von 47

While working with your patient he suddenly complains that his ears are ringing and he is feeling light-headed. As you sit him down on the mat, he says he feels sick to his stomach.

Of the SCI Complications we have studied, which do you suspect?

Wähle eine der folgenden:

Orthostatic Hypotension
Autonomic Dysreflexia
Thermoregulation

Erklärung

Frage 37 von 47

While working with your patient, you begin to suspect that he has orthostatic hypotension.

What should you do?

Wähle eine oder mehr der folgenden:

Recline Patient
Monitor BP
Sit Patient Up
Stand Patient Up
Search for Source of Irritation
Call the Nurse!

Erklärung

Frage 38 von 47

While working with your patient, you begin to suspect that he has autonomic dysreflexia.

What should you do?

Wähle eine oder mehr der folgenden:

Recline Patient
Monitor BP
Sit Patient Up
Stand Patient Up
Search for Source of Irritation
Call the Nurse!

Erklärung

Frage 39 von 47

Which of the following are Symptoms of Orthostatic Hypotension?

Wähle eine oder mehr der folgenden:

Loss of Vision
Dizziness
Ringing in the Ears
Nausea
Lightheadedness
Bradycardia
Inc. BP
Anxiety
Paling of the Skin
Sweating

Erklärung

Frage 40 von 47

Which of the following are Symptoms of Autonomic Dysreflexia?

Wähle eine oder mehr der folgenden:

Loss of Vision
Dizziness
Ringing in the Ears
Nausea
Lightheadedness
Bradycardia
Inc. BP
Anxiety
Paling of the Skin
Sweating

Erklärung

Frage 41 von 47

Which of the following occurs when a noxious stimulus below the level of lesion triggers an excessive sympathetic response. Generally, occurs with injuries above T6.

Wähle eine der folgenden:

Orthostatic Hypotension
Autonomic Dysreflexia
Spasticity

Erklärung

Frage 42 von 47

According to the VOPP, which of the following possible triggers for Autonomic Dysreflexia is most common?

Wähle eine der folgenden:

Bladder or Foley Catheter Issue
Pressure Sore
Ingrown Toenail
Muscle Spasm
ROM Exercises

Erklärung

Frage 43 von 47

Spasticity is Velocity-Dependent.

Wähle eins der folgenden:

WAHR
FALSCH

Erklärung

Frage 44 von 47

Which of the following are related to UMN Spasticity?

Wähle eine oder mehr der folgenden:

Caused by damage to descending tracts
Spastic Paralysis
Clonus
Inc. Deep Tendon Reflexes
Muscle Spasms
Abnormal Reflex to Cutaneous Stimuli
Caused by Damage to Anterior Horn Cells
Flaccid Paralysis
Decreased or Absent Deep Tendon Reflexes
Caused by Conus Medullaris or Cauda Equina Injuries

Erklärung

Frage 45 von 47

Which of the following are related to LMN Spasticity?

Wähle eine oder mehr der folgenden:

Caused by damage to descending tracts
Spastic Paralysis
Clonus
Inc. Deep Tendon Reflexes
Muscle Spasms
Abnormal Cutaneous Stimuli
Caused by Damage to Anterior Horn Cells
Flaccid Paralysis
Decreased or Absent Deep Tendon Reflexes
Caused by Conus Medullaris or Cauda Equina Injuries

Erklärung

Frage 46 von 47

How might Spasticity be viewed as a good thing?

Wähle eine oder mehr der folgenden:

Can prevent loss of muscle and tone
Can assist in preventing muscle edema and thrombus formation
Can assist in circulation by constricting the venous walls and raising blood pressure, thereby reducing hypotension

Erklärung

Frage 47 von 47

Which of the following are triggers for spasticity?

Wähle eine oder mehr der folgenden:

Quick, passive stretch of muscle
Ingrown toenail
UTI
Bowel Impaction
Muscle Spasm
Tickling

Erklärung

Antwort prüfen

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	Erstellt von Ben Williams vor fast 7 Jahre

USA-NM2 (Final) Quiz am SCI, erstellt von Ben Williams am 26/02/2018.

SCI

Frage 1 von 47

I can think of at least three indirect causes for spinal cord injury. Select False to review a few answers at the end of the quiz.

Wähle eins der folgenden:

Erklärung

Frage 2 von 47

Cervical trauma caused by rapid deceleration (as in a head on collision), is NOT likely to result in neurological injury.

Wähle eins der folgenden:

Erklärung

Frage 3 von 47

Diving into a shallow pool may cause a Tear Drop Fracture. Which of the following describes the MOI?

Wähle eine der folgenden:

Erklärung

Frage 4 von 47

Diving into a shallow pool is likely to cause which of the following types of cervical injuries?

Wähle eine oder mehr der folgenden:

Erklärung

Frage 5 von 47

Which of the following types of cervical injuries generally result in stable fractures without neurological involvement?

Wähle eine oder mehr der folgenden:

Erklärung

Frage 6 von 47

A Hangman's Fracture is generally caused by which of the following traumatic cervical movements?

Wähle eine der folgenden:

Erklärung

Frage 7 von 47

An SCI due to cervical extension, is commonly caused by which of the following MOIs?

Wähle eine oder mehr der folgenden:

Erklärung

Frage 8 von 47

Thoracic SCI are most commonly caused by traumatic movements in which of the following directions?

Wähle eine der folgenden:

Erklärung

Frage 9 von 47

Which of the following is the most likely traumatic movement of the lumbar spine resulting in SCI following a MVA?

Wähle eine der folgenden:

Erklärung

Frage 10 von 47

Which of the following is likely to cause an SCI via Shear forces?

Wähle eine oder mehr der folgenden:

Erklärung

Frage 11 von 47

I can list the 4 mechanisms of secondary tissue destruction following an SCI. If not, select false to review them at the end of the quiz.

Wähle eins der folgenden:

Erklärung

Frage 12 von 47

Name that syndrome

Wähle eine der folgenden:

Erklärung

Frage 13 von 47

Name that Syndrome

Wähle eine der folgenden:

Erklärung

Frage 14 von 47

Name that Syndrome

Wähle eine der folgenden:

Erklärung

Frage 15 von 47

Which syndrome is most likely to occur from the following MOI? Mechanism of Injury (MOI): central hemorrhage and necrosis that does not progress outward, usually extension injuries in the elderly, but can also occur with flexion injuries

Wähle eine der folgenden:

Erklärung

Frage 16 von 47

Which syndrome is most likely to occur from the following MOI? MOI: gun shot or stab wounds, flexion with rotation, burst fractures

Wähle eine der folgenden:

Erklärung

Frage 17 von 47

Which syndrome is most likely to occur from the following MOI? MOI: trauma to cord itself, damage to anterior spinal artery, damage from a tear drop or burst fracture

Wähle eine der folgenden:

Erklärung

Frage 18 von 47

Which syndrome is most likely to occur from the following MOI? MOI: cervical hyperextension injuries

Wähle eine der folgenden:

Erklärung

Frage 19 von 47

Select the proper symptoms of Conus Medullaris Syndrome and Cauda Equina Syndrome.

Wähle eine oder mehr der folgenden:

Erklärung

Frage 20 von 47

Despite a dearth of supprotive clinical evidence, there are several commonly used neuroprotective pharmaceuticals (Methylprednisone, GM-1, Gacyclidine, Tirilazad, and Naloxone).

I can think of at least three indirect causes for spinal cord injury.

Select False to review a few answers at the end of the quiz.

Diving into a shallow pool may cause a Tear Drop Fracture.
Which of the following describes the MOI?

I can list the 4 mechanisms of secondary tissue destruction following an SCI.

If not, select false to review them at the end of the quiz.

Which syndrome is most likely to occur from the following MOI?
Mechanism of Injury (MOI): central hemorrhage and necrosis that does not progress outward, usually extension injuries in the elderly, but can also occur with flexion injuries

Which syndrome is most likely to occur from the following MOI?
MOI: gun shot or stab wounds, flexion with rotation, burst fractures

Which syndrome is most likely to occur from the following MOI?
MOI: trauma to cord itself, damage to anterior spinal artery, damage from a tear drop or burst fracture

Which syndrome is most likely to occur from the following MOI?
MOI: cervical hyperextension injuries

While working with your patient he suddenly complains that his ears are ringing and he is feeling light-headed. As you sit him down on the mat, he says he feels sick to his stomach.

Of the SCI Complications we have studied, which do you suspect?

While working with your patient, you begin to suspect that he has orthostatic hypotension.

What should you do?