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NBCOT Exam > Neurologic Impairments > Flashcards

Neurologic Impairments Flashcards

1
Q

Decerebrate rigidity

A

UE/LE in spastic extension, adduction, and IR

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2
Q

Decorticate rigidity

A

UE in spastic flexion, LE in spastic extended position

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3
Q

Score below 8 on Glasgow Coma Scale

A

severe brain injury

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4
Q

Score between 9-12 on Glasgow Coma Scale

A

moderate brain injury

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5
Q

Score above 14 on Glasgow Coma Scale

A

mild brain injury

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6
Q

3 areas assessed by Glasgow Coma Scale

A

motor, verbal, and eye opening responses

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7
Q

Ranchos Los Amigos: Level 1

A

No response

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8
Q

Ranchos Los Amigos: Level 2

A

Generalized response (inconsistent and non purposeful)

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9
Q

Ranchos Los Amigos: Level 3

A

Localized response (responds specifically to stimuli inconsistently)

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10
Q

Ranchos Los Amigos: Level 4

A

Confused/agitated

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11
Q

Ranchos Los Amigos: Level 5

A

Confused/inappropriate

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12
Q

Ranchos Los Amigos: Level 6

A

Confused/appropriate

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13
Q

Ranchos Los Amigos: Level 7

A

Automatic/appropriate

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14
Q

Antispasticity splint positioning

A

hand and wrist in a functional position with finger abduction

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15
Q

Techniques for treating apraxia

A

hand over hand guidance OR compensation by following steps written or pictures on a card

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16
Q

Bed mobility training progression

A

Scooting up and down in bed, rolling, bridging, and then to/from supine and SSP or standing

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17
Q

In what level of SCI can a patient breathe with the diaphragm and does not need the use of a ventilator?

A

C5

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18
Q

What level SCI can a patient perform elbow flexion?

A

C5

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19
Q

What level SCI can tenodesis grasp be utilized?

A

C6

20
Q

What level SCI are triceps innervated (e.g., can perform elbow extension)?

A

C7

21
Q

What level SCI involves partial finger movement?

A

C8

22
Q

Starting at what level SCI can a patient have full UE ROM and strength?

A

Starting at T1

23
Q

What level SCI can a patient be independent with transfers?

A

C7 (triceps innervated; depression transfers)

24
Q

At what level SCI can a patient drive with hand controls?

A

C6

25
Q

ASIA A indicates …

A

complete motor and sensory loss below level of lesion

26
Q

ASIA B indicates…

A

incomplete; motor loss with preservation of sensation

27
Q

ASIA C indicates…

A

incomplete; motor and sensation preserved

28
Q

Orthostatic hypotension

A

LOW BP, lightheaded/dizziness, position patient in a supine and elevate feet above the heart

29
Q

Autonomic dysreflexia

A

HIGH BP, medical emergency, may be caused by noxious stimuli (check catheter, remove tight clothing), keep patient upright

30
Q

When should weight shifting occur?

A

Every 30-60 mins

31
Q

Mobile arm supports are useful to support the weight of arm during functional tasks at what level of SCI?

A

C5

32
Q

Tenodesis splint is used for what level of injury?

A

C6

33
Q

Broca’s aphasia

A

Expressive aphasia (difficulty finding words)

34
Q

Wernicke’s aphasia

A

Receptive aphasia (impaired auditory reception)

35
Q

Motor apraxia

A

difficulty completing planned movements

36
Q

Visual agnosia

A

difficulty recognizing objects/faces

37
Q

At what SCI level can a person perform skin checks independently with adaptive equipment (e.g,., long-handled mirror)?

A

C6

38
Q

At what level SCI is a universal cuff critical for increased independence in feeding, UBD, and grooming?

A

C5

39
Q

Multiple sclerosis

A

demyelinating disease that causes impaired nerve conduction and inflammation

40
Q

Motor symptoms of MS

A

ataxia, paralysis, weakness, fatigue, intention tremors, dysphagia

41
Q

Sensory symptoms of MS

A

paresthesia (numbness and tingling), vertigo, pain

42
Q

Visual symptoms of MS

A

Diplopia (double vision) or optic neuritis (sudden loss of vision)

43
Q

Communication symptoms of MS

A

dysarthria, scanning speech

44
Q

Bladder and bowel symptoms of MS

A

incontinence, urinary retention, or increased urgency

45
Q

Cognitive symptoms of MS

A

ST memory less, attention deficits, decreased processing, impaired executive functioning

46
Q
A

NBCOT Exam (14 decks)

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