Final Review - SCI

Question 1

Complete Injury

Answer 1

absence of motor/sensory function in the s4-5 dermatome

Question 2

Incomplete Injury

Answer 2

A preservation of sensation in the S4-5 dermatome and/or preservation of voluntary anal contraction

Question 3

UMN Injury

Answer 3

Increased tone/spasticity/reflexes, weakness/paralysis, preservation of muscle bulk

Question 4

LMN Injury

Answer 4

Decreased muscle tone - flaccidity, absent reflexes, weakness/paralysis, muscle atrophy, disimpaction

Question 5

Automatic Dysreflexia

Answer 5

85% of ppl with SCL at/above T6; common with complete; after spinal shock resloves; exaggerated increase in blood pressure in response to a noxious stim arising from below the level of SCI; loss of inhib supraspinal control

Question 6

Causes of Automatic Dysreflexia

Answer 6

Genitourinary (75) - bladder/urine/testical

Gastrointestinal (25) - fecal, abdomen, peptic ulcer

Question 7

Pressure ulcer stages

Answer 7

I - nonblanchable erythma/induration/edema
II - partial thickness skin loss, abrasion, blister
III - full thickness skin loss up to facia
IV - damage to muscle/bone

Question 8

Pulmonary levels

Answer 8

Diaphragm - C3-5
Intercostals - T1-12
Abs - T6-12

Question 9

C1-4

Answer 9

Respiratory, dependent all self-care, PWC, 24 hr care

Question 10

C5

Answer 10

Biceps

Bowl/bladder dependent, mod A with dress, 6hr homecare

Question 11

C6

Answer 11

Wrist extension

I feeding, grooming, UE ADLs, driving, manual WC, tenodisis grip

Question 12

C7

Answer 12

Triceps

Finger flexors/extensors