CNS Pathology and Transfers - WK11+12

Question 1

Often found with persons who are diabetic and most commonly leading to lack of sensation of the feet

Answer 1

peripheral neuropathy

Question 2

Is cerebral palsy a progressive disorder ?

Answer 2

NO

Question 3

What factors lead to peripheral neuropathies

Answer 3

diabetes, mechanical compression, ETOH abuse, botulism, GBS, aging

Question 4

Which brain neoplasm is most deadly?

Answer 4

glioblastoma multiforme

Question 5

Risk factors of ____________ include: 80% are males, and most commonly occurs at age 18

Answer 5

spinal cord injury

Question 6

You are instructing your patient in independent squat-pivot transfers. Your patient is a 110-lb. female who is fully alert and oriented, and she plans to return home using a wheelchair for her mobility needs. She will be home alone most of the day and must be able to transfer independently. What advice could you give her ?

Answer 6

transfer from wheelchair to bed with the armrest closest to the bed moved out of the way

Question 7

In both squat-pivot and standing-pivot transfers, what is the first task that must be accomplished first ?

Answer 7

shifting the patient’s CoM forward over the pivot point

Question 8

what factor is a requirement for performing independent seated lateral transfers without a transfer board

Answer 8

good trunk control

Question 9

You have just evaluated your patient, who is recovering from abdominal surgery, and you are preparing to assist the patient from the bed to the bedside chair using a squat-pivot transfer. Your assessment of the patient is that her lower-extremity strength is poor bilaterally. What is the best position to assume for this transfer

Answer 9

in front of the patient, with both of her legs blocked by your legs

Question 10

Physical assistance with seated lateral transfers is provided most effectively at the ….

Answer 10

hips

Question 11

Infections of the CNS include

Answer 11

meningitis, and encephalitis

Question 12

A unique sign/symptom of __________________ is neck stiffness and pain that makes it difficult to touch your chin to your chest

Answer 12

meningitis

Question 13

give the definition of neuropraxia, axontemesis, and neurotemesis

Answer 13

neuro-:segmental demyelination
axon-: disruption of axon but endoneurium in place
neuro-: disruption of both axon and endoneurium

Question 14

Autonomic dysreflexia is a concern with spinal cord injuries above the level of ……

Answer 14

T5

Question 15

___________ is defined as “possession” from paroxysmal electrical abnormality, leading to a loss of consciousness and abnormal motor activity.

Answer 15

epilepsy

Question 16

What is a modifiable risk factor that doubles the chance of a CVA

Answer 16

tobacco smoke

Question 17

n order to perform lateral seated transfers, the patient is always required to bear weight through their lower extremities. (T/F)

Answer 17

False

Question 18

If a patient is able to bear weight safely through at least one LE and has the ability to follow instructions and/or respond to cueing, he or she may be a candidate for employing a _________

Answer 18

pivot transfer technique

Question 19

During a pivot transfer, the inner (closest to the target surface) foot should be slightly

Answer 19

forward

Question 20

Patient position for a pivot transfer includes

Answer 20

hips forward, feet back, flexed trunk, hands on armrestss

Question 21

You choose to perform a bed to chair transfer with a patient who is dependent in their mobility. If you are having difficulty with initiating the pivot, it is advised to try and create controlled momentum by rocking prior to the transfer. ( T/F)

Answer 21

True

Question 22

Which transfer maneuver is considered to be the most physical stressful to the caregiver

Answer 22

transferring a patient from chair to toilet

Question 23

Which position creates the greatest risk of injury to the clinician during a lateral supine transfer requiring the assistance of two or more people?

Answer 23

standing beside the patient and bending forward as the patient is moved laterally

Question 24

The risk of injury during manual dependent transfers is ______________.

Answer 24

greatly magnified

Question 25

Dependent pivot transfers are used when a patient is _________ to bear _________on the lower extremities and has some voluntary muscle tone of one or both lower extremities.

Answer 25

able to , at least partial