SCI

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Questão 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.

Selecione uma das opções:

VERDADEIRO
FALSO

Explicação

Questão 2 de 47

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

Selecione uma das opções:

VERDADEIRO
FALSO

Explicação

Questão 3 de 47

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

Selecione uma das seguintes:

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

Explicação

Questão 4 de 47

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

Selecione uma ou mais das seguintes:

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

Explicação

Questão 5 de 47

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

Selecione uma ou mais das seguintes:

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

Explicação

Questão 6 de 47

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

Selecione uma das seguintes:

Flexion
Flexion with Axial Loading
Extension
Vertical Compression

Explicação

Questão 7 de 47

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

Selecione uma ou mais das seguintes:

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

Explicação

Questão 8 de 47

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

Selecione uma das seguintes:

Flexion
Extension
Flexion with Rotation
Vertical Compression
Extension with Lateral Flexion

Explicação

Questão 9 de 47

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

Selecione uma das seguintes:

Flexion with Distraction
Flexion
Flexion with Rotation
Shear
Vertical Compression

Explicação

Questão 10 de 47

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

Selecione uma ou mais das seguintes:

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

Explicação

Questão 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.

Selecione uma das opções:

VERDADEIRO
FALSO

Explicação

Questão 12 de 47

Name that syndrome

Selecione uma das seguintes:

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

Explicação

Questão 13 de 47

Name that Syndrome

Selecione uma das seguintes:

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

Explicação

Questão 14 de 47

Name that Syndrome

Selecione uma das seguintes:

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

Explicação

Questão 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

Selecione uma das seguintes:

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

Explicação

Questão 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

Selecione uma das seguintes:

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

Explicação

Questão 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

Selecione uma das seguintes:

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

Explicação

Questão 18 de 47

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

Selecione uma das seguintes:

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

Explicação

Questão 19 de 47

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

Selecione uma ou mais das seguintes:

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

Explicação

Questão 20 de 47

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

Selecione uma das opções:

VERDADEIRO
FALSO

Explicação

Questão 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?

Selecione uma ou mais das seguintes:

Halo
Minerva
SOMI
Philadelphia Collar

Explicação

Questão 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?

Selecione uma das seguintes:

Halo
Minerva
SOMI
Philadelphia Collar

Explicação

Questão 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?

Selecione uma das seguintes:

Halo
Minerva
SOMI
Philadelphia Collar

Explicação

Questão 24 de 47

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

Selecione uma das seguintes:

TLSO
Jewett Hyperextension Brace
Knight Taylor Brace
LSO

Explicação

Questão 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?

Selecione uma das seguintes:

TLSO
Jewett Hyperextension Brace
Knight Taylor Brace
LSO

Explicação

Questão 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?

Selecione uma das seguintes:

TLSO
Jewett Hyperextension Brace
Knight Taylor Brace
LSO

Explicação

Questão 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?

Selecione uma das seguintes:

TLSO
Jewett Hyperextension Brace
Knight Taylor Brace
LSO

Explicação

Questão 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?

Selecione uma das seguintes:

TLSO
Jewett Hyperextension Brace
Knight Taylor Brace
LSO

Explicação

Questão 29 de 47

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

Selecione uma das seguintes:

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

Explicação

Questão 30 de 47

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

Selecione uma das seguintes:

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

Explicação

Questão 31 de 47

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

Selecione uma ou mais das seguintes:

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

Explicação

Questão 32 de 47

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

Selecione uma ou mais das seguintes:

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

Explicação

Questão 33 de 47

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

Selecione uma ou mais das seguintes:

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

Explicação

Questão 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?

Selecione uma ou mais das seguintes:

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

Explicação

Questão 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.

Selecione uma das opções:

VERDADEIRO
FALSO

Explicação

Questão 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?

Selecione uma das seguintes:

Orthostatic Hypotension
Autonomic Dysreflexia
Thermoregulation

Explicação

Questão 37 de 47

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

What should you do?

Selecione uma ou mais das seguintes:

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

Explicação

Questão 38 de 47

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

What should you do?

Selecione uma ou mais das seguintes:

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

Explicação

Questão 39 de 47

Which of the following are Symptoms of Orthostatic Hypotension?

Selecione uma ou mais das seguintes:

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

Explicação

Questão 40 de 47

Which of the following are Symptoms of Autonomic Dysreflexia?

Selecione uma ou mais das seguintes:

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

Explicação

Questão 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.

Selecione uma das seguintes:

Orthostatic Hypotension
Autonomic Dysreflexia
Spasticity

Explicação

Questão 42 de 47

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

Selecione uma das seguintes:

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

Explicação

Questão 43 de 47

Spasticity is Velocity-Dependent.

Selecione uma das opções:

VERDADEIRO
FALSO

Explicação

Questão 44 de 47

Which of the following are related to UMN Spasticity?

Selecione uma ou mais das seguintes:

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

Explicação

Questão 45 de 47

Which of the following are related to LMN Spasticity?

Selecione uma ou mais das seguintes:

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

Explicação

Questão 46 de 47

How might Spasticity be viewed as a good thing?

Selecione uma ou mais das seguintes:

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

Explicação

Questão 47 de 47

Which of the following are triggers for spasticity?

Selecione uma ou mais das seguintes:

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

Explicação

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	Criado por Ben Williams mais de 6 anos atrás

USA-NM2 (Final) Quiz sobre SCI, criado por Ben Williams em 26-02-2018.

SCI

SCI

Questão 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.

Selecione uma das opções:

Explicação

Questão 2 de 47

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

Selecione uma das opções:

Explicação

Questão 3 de 47

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

Selecione uma das seguintes:

Explicação

Questão 4 de 47

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

Selecione uma ou mais das seguintes:

Explicação

Questão 5 de 47

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

Selecione uma ou mais das seguintes:

Explicação

Questão 6 de 47

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

Selecione uma das seguintes:

Explicação

Questão 7 de 47

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

Selecione uma ou mais das seguintes:

Explicação

Questão 8 de 47

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

Selecione uma das seguintes:

Explicação

Questão 9 de 47

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

Selecione uma das seguintes:

Explicação

Questão 10 de 47

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

Selecione uma ou mais das seguintes:

Explicação

Questão 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.

Selecione uma das opções:

Explicação

Questão 12 de 47

Name that syndrome

Selecione uma das seguintes:

Explicação

Questão 13 de 47

Name that Syndrome

Selecione uma das seguintes:

Explicação

Questão 14 de 47

Name that Syndrome

Selecione uma das seguintes:

Explicação

Questão 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

Selecione uma das seguintes:

Explicação

Questão 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

Selecione uma das seguintes:

Explicação

Questão 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

Selecione uma das seguintes:

Explicação

Questão 18 de 47

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

Selecione uma das seguintes:

Explicação

Questão 19 de 47

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

Selecione uma ou mais das seguintes:

Explicação

Questão 20 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.

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?