SCI

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Pregunta 1 de 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.

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 2 de 47

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

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 3 de 47

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

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 4 de 47

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

Selecciona una o más de las siguientes respuestas posibles:

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

Explicación

Pregunta 5 de 47

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

Selecciona una o más de las siguientes respuestas posibles:

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

Explicación

Pregunta 6 de 47

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

Selecciona una de las siguientes respuestas posibles:

Flexion
Flexion with Axial Loading
Extension
Vertical Compression

Explicación

Pregunta 7 de 47

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

Selecciona una o más de las siguientes respuestas posibles:

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

Explicación

Pregunta 8 de 47

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

Selecciona una de las siguientes respuestas posibles:

Flexion
Extension
Flexion with Rotation
Vertical Compression
Extension with Lateral Flexion

Explicación

Pregunta 9 de 47

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

Selecciona una de las siguientes respuestas posibles:

Flexion with Distraction
Flexion
Flexion with Rotation
Shear
Vertical Compression

Explicación

Pregunta 10 de 47

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

Selecciona una o más de las siguientes respuestas posibles:

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

Explicación

Pregunta 11 de 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.

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 12 de 47

Name that syndrome

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 13 de 47

Name that Syndrome

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 14 de 47

Name that Syndrome

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 15 de 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

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 16 de 47

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

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 17 de 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

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 18 de 47

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

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 19 de 47

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

Selecciona una o más de las siguientes respuestas posibles:

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

Explicación

Pregunta 20 de 47

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

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 21 de 47

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

Selecciona una o más de las siguientes respuestas posibles:

Halo
Minerva
SOMI
Philadelphia Collar

Explicación

Pregunta 22 de 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?

Selecciona una de las siguientes respuestas posibles:

Halo
Minerva
SOMI
Philadelphia Collar

Explicación

Pregunta 23 de 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?

Selecciona una de las siguientes respuestas posibles:

Halo
Minerva
SOMI
Philadelphia Collar

Explicación

Pregunta 24 de 47

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

Selecciona una de las siguientes respuestas posibles:

TLSO
Jewett Hyperextension Brace
Knight Taylor Brace
LSO

Explicación

Pregunta 25 de 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?

Selecciona una de las siguientes respuestas posibles:

TLSO
Jewett Hyperextension Brace
Knight Taylor Brace
LSO

Explicación

Pregunta 26 de 47

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

Selecciona una de las siguientes respuestas posibles:

TLSO
Jewett Hyperextension Brace
Knight Taylor Brace
LSO

Explicación

Pregunta 27 de 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?

Selecciona una de las siguientes respuestas posibles:

TLSO
Jewett Hyperextension Brace
Knight Taylor Brace
LSO

Explicación

Pregunta 28 de 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?

Selecciona una de las siguientes respuestas posibles:

TLSO
Jewett Hyperextension Brace
Knight Taylor Brace
LSO

Explicación

Pregunta 29 de 47

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

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 30 de 47

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

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 31 de 47

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

Selecciona una o más de las siguientes respuestas posibles:

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

Explicación

Pregunta 32 de 47

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

Selecciona una o más de las siguientes respuestas posibles:

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

Explicación

Pregunta 33 de 47

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

Selecciona una o más de las siguientes respuestas posibles:

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

Explicación

Pregunta 34 de 47

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

Selecciona una o más de las siguientes respuestas posibles:

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

Explicación

Pregunta 35 de 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.

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 36 de 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?

Selecciona una de las siguientes respuestas posibles:

Orthostatic Hypotension
Autonomic Dysreflexia
Thermoregulation

Explicación

Pregunta 37 de 47

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

What should you do?

Selecciona una o más de las siguientes respuestas posibles:

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

Explicación

Pregunta 38 de 47

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

What should you do?

Selecciona una o más de las siguientes respuestas posibles:

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

Explicación

Pregunta 39 de 47

Which of the following are Symptoms of Orthostatic Hypotension?

Selecciona una o más de las siguientes respuestas posibles:

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

Explicación

Pregunta 40 de 47

Which of the following are Symptoms of Autonomic Dysreflexia?

Selecciona una o más de las siguientes respuestas posibles:

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

Explicación

Pregunta 41 de 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.

Selecciona una de las siguientes respuestas posibles:

Orthostatic Hypotension
Autonomic Dysreflexia
Spasticity

Explicación

Pregunta 42 de 47

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

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 43 de 47

Spasticity is Velocity-Dependent.

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 44 de 47

Which of the following are related to UMN Spasticity?

Selecciona una o más de las siguientes respuestas posibles:

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

Explicación

Pregunta 45 de 47

Which of the following are related to LMN Spasticity?

Selecciona una o más de las siguientes respuestas posibles:

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

Explicación

Pregunta 46 de 47

How might Spasticity be viewed as a good thing?

Selecciona una o más de las siguientes respuestas posibles:

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

Explicación

Pregunta 47 de 47

Which of the following are triggers for spasticity?

Selecciona una o más de las siguientes respuestas posibles:

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

Explicación

Revisar respuesta

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	Creado por Ben Williams hace más de 6 años

(Final) USA-NM2 Test sobre SCI, creado por Ben Williams el 26/02/2018.

SCI

Pregunta 1 de 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.

Selecciona uno de los siguientes:

Explicación

Pregunta 2 de 47

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

Selecciona uno de los siguientes:

Explicación

Pregunta 3 de 47

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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 4 de 47

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

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 5 de 47

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

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 6 de 47

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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 7 de 47

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

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 8 de 47

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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 9 de 47

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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 10 de 47

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

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 11 de 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.

Selecciona uno de los siguientes:

Explicación

Pregunta 12 de 47

Name that syndrome

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 13 de 47

Name that Syndrome

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 14 de 47

Name that Syndrome

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 15 de 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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 16 de 47

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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 17 de 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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 18 de 47

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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 19 de 47

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

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 20 de 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?