Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Boards Flashcards > SCI > Flashcards

SCI Flashcards

1
Q

Where is the filum terminale is attached to:

a. S4-55
b. Base of the sacrum
c. First coocygeal segment
d. None of these

A

First coocygeal segment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Length of the spinal cord:

a. 35-39 inches
b. 42-43 cm
c. 45-56 cm
d. 42-43 inches

A

42-43 cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

During sensory examination, a patient complains of dull, aching pain and is not able to discriminate a stimulus as sharp or dull. Two point discrimination is absent. Based on these findings, which of these tracts is/are not intact?
I. lateral spinothalamic tract
II. Dorsal column
III. Medial lemniscus
IV. Anterior spinothalamic tract

a. I, ll and Ill
b. l and IlI
c. Iland IV
d. Only IV
e. All of these

A

I, ll and Ill

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

A T10 female with complete paraplegia will

a. Have normal orgasm
b. Experience labor pain
c. Still be capable of having children
d. Not be able to bear children
e. Have decreased libido

A

Still be capable of having children

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which objective finding is the strongest indication that a C6 spinal cord injury is not complete?

a. Intact sensation on the lateral portion of the shoulder
b. Weakness of the biceps muscle
c. Absent triceps reflex
d. Diminished sensation on the hypothenar eminence

A

Diminished sensation on the hypothenar eminence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

In a C6 lesion, the following may be expected of the client, EXCEPT:

a. Bed mobility independent
b. Involves the deltoid, biceps, rhomboids, supinator and supraspinatus
c. Involves the wrist extensors, latissimus dorsi, pectoralis, serratus anterior, pronator teres and teres minor
d. Can assist in independent transfers

A

Involves the deltoid, biceps, rhomboids, supinator and supraspinatus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

In central cord syndrome ____

a. Associated with congenital narrowing of the spinal canal
b. Occurs with hyperextension injuries of the neck
c. Motor deficits are more severe than sensory impairments
d. Motor function of the upper extremity is more affected than that of the lower extremity
e. All of these

A

All of these

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Which of the following is not an acceptable long-term goal for a patient with a complete C7 spinal cord injury?

a. Independent with dressing
b. Driving an automobile
c. Balance wheelchair in a wheelie for 30 seconds
d. Independence in performing a manual cough
e. None of the above

A

Balance wheelchair in a wheelie for 30 seconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A 43 year old patient is recovering from a complete SCI at L2 level. The expected outcome would MOST LIKELY include ____

a. Loss of motor function and pain and temperature sensation below the level of the lesion with light touch, proprioception and position sense preserved
b. Loss of arm function is greater than leg function with early loss of pain and temperature sensation
c. A spastic or reflex bladder
d. Some recovery of function since damage is to peripheral nerve roots

A

Some recovery of function since damage is to peripheral nerve roots

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

While a patient recovering from a spinal cord injury was attending his exercise session, he declared that he will walk again. Which of these injuries would make functional ambulation MOST unrealistic?

a. Brown-Sequard syndrome
b. Posterior cord syndrome
c. Complete T9 paraplegia
d. Cauda equine injury

A

Complete T9 paraplegia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

A universal cuff is applicable in the following Complete SCI levels, helping in movements and ADLs. Which level would the cuff be inapplicable?

а. C5
b. С6
c. C4
d. C7

A

C4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

SCI patient: 47/F sustained severe whiplash injury in a train accident. P.E. preserved motor - both upper and lower extremities; sensory - intact pain and temperature but with loss of proprioception of both lower extremities. Ambulation - poor balance. What incomplete SCI syndrome is this?

a. Posterior cord
b. Anterior cord
c. Cuada equina
d. Brown-Sequard

A

Posterior cord

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

SCI patient A: deficits are 0/5 both biceps and the entire UE; 0/5 both LE; sensory 50% over neck area only. What is the injury?

a. C4
b. C8
c. C6
d. Jefferson fracture (atlas)

A

Jefferson fracture (atlas)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

In a C5 lesion, the following may be expected of the client, EXCEPT:

a. Can give minimal to moderate assistance resulting in bed mobility dependency
b. Can assist with limited transfer due to involved musculature
c. Can propel manual wheelchair on level surfaces with the assistance of projection hand trims
d. Involves the deltoid, biceps, rhomboids, supinator and supraspinatus

A

Can assist with limited transfer due to involved musculature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Fracture of the second lumbar vertebra will involve which spinal cord segment?

a. L2
b. L1
c. T12
d. None of these

A

None of these

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

In central cord syndrome ___

a. Associated with congenital narrowing of the spinal cord
b. Occurs with flexion iniuries of the neck
c. Sensory deficits are more severe than motor impairments
d. Motor function of the lower extremity is more affected than that of the upper extremity

A

Associated with congenital narrowing of the spinal cord

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

In a 56 yo patient with a thoracic spinal cord hemisection, where would you expect the pain and temperature abnormalities to begin?

a. Exactly at the level of the lesion
b. Four or five segments above the lesion
c. Four or five segments below the lesion
d. One or two segments above the lesion
e. One or two segments below the lesion

A

One or two segments below the lesion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

The dorsal column-medial lemniscal pathway is responsible for the transmission of the following sensations:
I. two-point discrimination
II. Precise localization
III. Stereognosis
IV. Fine intensity gradations

a. All of these
b. I, ll and III
c. I and Ill
d. Il and IV
e. None of these

A

All of these

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Compute for the total sensory index score of a patient who has intact sensation from T6 and above; impaired sensation from T7 to L2 and absent sensation from L3 and below.

a. 70
b. 68
c. 66
d. 72

A

68

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Compute the total motor index score of an SCI patient whose muscles at L2 and above are graded 5/5. L3 and L4 levels are graded 3/5 and remaining muscles are graded zero

a. 70
b. 68
c. 66
d. 72

A

72

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

True about Anterior Cord syndrome, except

a. Related to flexion injuries of the cervical region
b. Loss of motor function below the level of the lesion
c. Loss of pain and temperature below the level of the lesion
d. Proprioception, light touch and vibratory sense are generally preserved
e. Patient often require a shorter length of stay during inpatient rehabilitation compares to people with other types of SCI clinical syndromes

A

Patient often require a shorter length of stay during inpatient rehabilitation compares to people with other types of SCI clinical syndromes

22
Q

Autonomic dysreflexia is a pathological autonomic reflex that can be life threatening. The symptoms of AD include the following, except:

a. Vasoconstriction below the level of the lesion
b. Vasodilation above the level of the lesion
c. Hypertension
d. Pounding headache
e. Tachycardia

A

Tachycardia

23
Q

The bulbocavernosus reflex is a test for the integrity of:

a. L4-L5 nerve roots
b. L5-S1 nerve roots
c. S1-S2 nerve roots
d. L1-L2 nerve roots
e. None of these

A

S1-S2 nerve roots

24
Q

In a C7 lesion, the following may be expected of the patient, except

a. Available movements include elbow extension, wrist flexion and finger extension
b. Independent with pressure relief in wheelchair
c. Independent in car driving with adaptive controls
d. Involves the extensor pollicis longus and brevis, extrinsic finger extensors, flexor carpi radialis and triceps
e. None of these

A

None of these

25
Q

Wheelchair for C4 tetraplegia, except

a. Chin control
b. Voice control
c. Sip and puff
d. Head control
e. None of these

A

None of these

26
Q

Asia Impairment Scale C:

a. Sensation preserved in S4-S5: more than half of the key muscles below the neurological level of injury less than 3/5
b. Intact S4-S5; no motor function at neurological level of injury c. Intact S4-S5; No motor function below 3 segments down the neurologic level of injury
d. S4-S5 sensation intact; Muscles below neurologic level of injury, grade more than 3/5

A

Sensation preserved in S4-S5: more than half of the key muscles below the neurological level of injury less than 3/5

27
Q

A realistic functional outcome for a patient with a complete lesion at the C8 neurological level is independent in:

a. Transfer using a sliding board
b. Using a manual wheelchair with rim projections
c. All self and personal hygiene
d. Driving an automobile without hand controls

A

All self and personal hygiene

28
Q

A patient has a complete spinal cord lesion at C5 level. It is important for this patient to generate a functional cough in order to avoid potential respiratory problems. In this case, effective coughing

a. Should be facilitated by use of phrenic nerve stimulator
b. Should be facilitated by use of glossopharyngeal breathing
c. Can be elicited with manual abdominal pressure provided with the assistance of a caregiver
d. Can be elicited with manual abdominal pressure provided independently by the patient

A

Can be elicited with manual abdominal pressure provided with the assistance of a caregiver

29
Q

In mat activities for a T11 paraplegic who wishes to roll from supine to prone, he may use the following techniques, EXCEPT:

a. Flexion of the trunk
b. Bilateral UE rocking with outstretched arms
c. Crossing the ankles
d. Extension of the head and neck

A

Extension of the head and neck

30
Q

Effects of a spinal cord injury with the sixth cervical level sparred include which of the following:

a. Finger extensors absent
b. Elbow extensor present
c. Triceps present
d. Radial wrist extensor absent
e. Intrinsic hand muscle present

A

Finger extensors absent

31
Q

Clinical signs of sacral sparring include all of the following: EXCEPT

a. Rectal sphincter contraction
b. Cutaneous sensation in the “saddle area”
c. None of these
d. Absence of toe flexion

A

Absence of toe flexion

32
Q

In your C6 SCI px, tenodesis action is preserved by avoiding:

a. Finger flexion and wrist extension
b. Wrist flexion and finger flexion
c. Finger extension and wrist extension
d. Wrist flexion and finger extension

A

Finger extension and wrist extension

33
Q

A patient is prescribed with BFO. What level of spinal cord injury does he have?

a. C3 to C4
b. C4 to C5
c. C5 to C6
d. C6 to C7
e. T2 to T3

A

C4 to C5

34
Q

The most common cause of spinal cord injury in the elderly is:

a. Diving accidents
b. Acts of violence accidents
c. Falls
d. vehicular

A

Falls

35
Q

A therapist instructs a patient diagnosed with C6 tetraplegia in functional activities. Which of the following activities would be least appropriate?

a. Independent raises for skin protection
b. Manual wheelchair propulsion
c. Assisted to independent transfers with a sliding board
d. Independent self-range of motion of the lower extremities

A

Independent self-range of motion of the lower extremities

36
Q

A therapist reviews the medical record of a patient with SCI. A note recently entered by the physician indicates that the patient contracted a respiratory infection. Which patient would be most susceptible to this condition?

a. Complete C4 tetraplegia
b. Cauda equina syndrome
c. Brown-Sequard syndrome
d. Posterior cord syndrome

A

Complete C4 tetraplegia

37
Q

The therapist receives an order to treat a 42yo man admitted to the hospital 3 days ago with a stab wound to the left lower thoracic spine. The patient is unable to move the left LE and cannot feel pain or temperature differences in the right LE. What is the most likely type of the lesion?

a. Anterior Cord Syndrome
b. Brown Sequard Syndrome
c. Central Cord Syndrome
d. Posterior Cord Syndrome

A

Brown Sequard Syndrome

38
Q

Potential serious side effect of autonomic hyperreflexia is:

a. Myocardial Infarction
b. Renal failure
c. Dehydration
d. Gastric Ulceration
e. Cerebral Hemorrhage

A

Cerebral Hemorrhage

39
Q

A patient with quadriplegia at C6 level should be instructed to transfer using a sliding board with his:

a. Forearms pronated, wrists and fingers extended
b. Forearms pronated, wrists extended and fingers flexed
c. Forearms pronated, wrists and fingers flexed
d.Forearms supinated, wrists and fingers extended

A

Forearms pronated, wrists extended and fingers flexed

40
Q

A realistic long term goal for T10 paraplegic is:

a. Able to ambulate with bilateral KAFO with forearm crutches and swing to gait
b. Able to ambulate independently in parallel bars without aids
c. Able to ambulate with bilateral AFO with forearm crutches and 4pt gait
d. Able to ambulate with bilateral AFO with forearm crutches and 3pt gait

A

Able to ambulate with bilateral KAFO with forearm crutches and swing to gait

41
Q

A patient with cauda equina lesion would present with the following manifestations

a. Hyperreflexia
b. Hypertonicity both LE
c. Spastic bladder
d. Bladder dysfunction
e. All of these

A

Bladder dysfunction

42
Q

The following can be performed by a patient with SCI level T6-T12, EXCEPT:

a. Swing To gait pattern
b. Use KAFO for ambulation
c. 4pt gait pattern
d. Use a manual wheelchair for community ambulation
e. None of these

A

4pt gait pattern

43
Q

The wrist driven flexor hinge splint is an adaptive equipment for tetraplegics with the level of:

a. C5
b. C6
c. C4
d. C7

A

C6

44
Q

C7-C8 SCI functional movements, EXCEPT:

a. Elbow extension
b. Finger abduction
c. Wrist extension
d. Finger flexion
e. Finger extension

A

Finger abduction

45
Q

A therapist orders a wheelchair for a patient in a rehabilitation hospital. Which of the following patients would be most in need of a wheelchair with handrim projections?

a. A patient with C3 SCI
b. A patient with C5 SCI
c. A patient with hemiparesis
d. patient with cauda equina lesion

A

A patient with C5 SCI

46
Q

The muscle stretch reflexes during the period of spinal shock are:

a. Absent
b. Diminished
c. Normal
d. Increased can be quite variable

A

Absent

47
Q

The major area of concern in managing a C3 quadriplegic patient is:

a. Maintaining proper nutrition
b. Preventing pressure ulcers
c. Preventing contractures
d. Strengthening the tongue and muscles of mastication
e. Maintaining adequate respiration

A

Maintaining adequate respiration

48
Q

Following hemisection of the spinal cord at the level of T3. a patient experiences loss of pain and temperature on the left side of the leg. Which of the following tracts was affected by the hemisection of the cord that could account for this deficit?

a. Right fasciculus cuneatus
b. Right fasciculus gracillis
c. Right spinothalamic tract
d. Left spinothalamic tract
e. Left corticospinal tract

A

Right spinothalamic tract

49
Q

The normal diameter of the spinal cord

a. 1-1.5 inches
b. 10-15CM
c. 1-1.5 mm
d. 1-1.5CM

A

1-1.5CM

50
Q

What is the highest neurologic level at which a person with complete spinal cord injury can be expected to have a reasonable chance of being a community ambulator?

a. Тб
b. L3
c. T10
d. T12

A

L3

Boards Flashcards (57 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions