NCS SCI Flashcards
what is the most common cause of SCI
a. MVA
b. fall
c. gunshot wound
d. diving
a. MVA
what is the most common type of SCI
a. incomplete tetraplegia
b. complete tetraplegia
c. incomplete paraplegia
d. complete paraplegia
a. incomplete tetraplegia
true or false: there are more complete injuries than incomplete
false - more incomplete than complete
true or false: it is estimated that cost for a person with high cervical injury will be at least $1million in the first year
true
what is the primary cause of death in persons with SCI
a. falls
b. pneumonia
c. pressure sores
d. metabolic disease
b. pneumonia
a person with level C4-5 injury is expected to have how much of age predicted FEV/FVC
a. 30%
b. 50%
c. 65%
d. normal
b. 50%
a person with level C6-8 injury is expected to have how much of age predicted FEV/FVC
a. 30%
b. 50%
c. 65%
d. normal
c. 65%
which of the following is not a factor that decreases risk of UTI in persons with SCI
a. independent ADLs
b. weekly exercise
c. good hygiene
d. education
e. reflexive bladder
e. reflexive bladder - results in residual volume after voiding
you are working with an individual who has had a T12 level SCI. they say they are independent with intermittent catheterization. you can assume they have
a. areflexive bladder
b. reflexive bladder
b. reflexive bladder
what is the highest level of injury can you expect a man to be independent with catheterization
a. C5
b. C6
c. C7
d. C8
b. C6
what is the highest level of injury can you expect a woman to be independent with catheterization
a. C5
b. C6
c. C7
d. C8
c. C7
you are working with an individual s/p complete SCI following MVA. they are overweight, and also have a tibia-fibula fracture as a result of the MVA. following transfering bed to WC they begin to complain of SOB. what is your immediate next step?
a. lay them down and lift their legs up to reverse orthostatic hypotension
b. sit them up to reverse autonomic dysreflexia
c. check for a kink in their catheter
d. call a code as they likely threw a DVT that is now a PE
d. call a code as they likely threw a DVT that is now a PE
this person has many factors for developing DVT - complete injury, LE fracture, overweight
you are working with an individual s/p complete SCI following MVA. they are overweight, and also have a tarsal fracture as a result of the MVA. they are currently taking baby aspirin but the medical team has approached them about placing an IVC filter to minimize risk of DVT developing into a PE but they value your professional opinion. what do you tell them
a. do it, it is supported in the literature
b. do it, they are at higher risk of PE due to the nature of their fracture
c. do it as the current pharmacological prophylactic will not be enough to prevent PE
d. IVC filter placement has been associated with increased risk of DVT and they do not meet the criteria for it being useful
d. IVC filter placement has been associated with increased risk of DVT and they do not meet the criteria for it being useful
IVC filter should only be considered in persons with long bone fractures or when person cannot take pharmacological prophylactic
you are working with an individual who has L1 SCI. they say they must work therapy around their bowel/diet schedule. this is likely because
a. they have reflexive bowel and need time for the suppository to work
b. they have reflexive bowel and need time for manual evacuation
c. they have areflexive bowel and need time for digital stim
d. they have areflexive bowel and need time for manual evacuation
d. they have areflexive bowel and need time for manual evacuation
what is the lowest level that a person with SCI is at higher risk for autonomic dysreflexia
a. C4
b. C7
c. T6
d. T12
c. T6
true or false: heterotopic ossification is a result of aggressive ranging of a patients joint
false - result of reduced WBing or mobility an is often found during ranging of a joint
you are working with a person s/p acute SCI
you see in their chart they are taking blood thinners and NSAIDS despite not having complaints of pain. what is the NSAIDS for
a. neuropathic pain
b. spinal cord inflammation
c. prophylactic management of DVT
d. prophylactic management of HO
d. prophylactic management of HO
which of the following parameters is appropriate for FES cycling for management of neurogenic OP
a. 3x10 3x/wk
b. 30-60min 3-5x/wk
c. 6 hours a day for 2 weeks
b. 30-60min 3-5x/wk
your patient who is s/p T10 SCI is concerned about losing bone density in their legs. they learned about a few different treatments and ask you which you recommend. which treatment would you not recommend to the patient
a. FES cycling
b. standing frame with E-stim
c. biphosphonate medication
d. vibration while seated in WC
d. vibration while seated in WC
your patient who is s/p T10 SCI is concerned about losing bone density in their legs. they learned about a few different treatments and ask you which you recommend. which treatment would you not recommend to the patient
a. FES cycling
b. standing frame
c. biphosphonate medication
b. standing frame
not without e-stim
true or false: women who sustain cervical injuries do not get their period post SCI
false - it stops for 5 months then resumes
true or false: men with SCI have the same fertility as men without SCI
false - they have decreased semen production and decreased semen viability
