Brainscape's Knowledge GenomeTM

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


See full index

Neuro management 2 > SCI > Flashcards

SCI Flashcards

1
Q

The rate of recovery for SCI patients is greatest during the ___ year because of the impact of ____ ___ ____

A

1st. spontaneous neural recovery

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

During the chronic timeframe (one year post-injury), recovery is more related to ____ __ ____ ____

A

rehabilitation and lifestyle choices

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

Severity o SCI is determined based on the classification category using the ____ _____ ____ ____ ____ ____

A

American Spinal Injury Association Impairment Scale

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

Individuals classified as an AIS ___ have the best prognosis for recovery of sensorimotor function below the level of injury; whereas individuals classified as AIS ___ have the worst prognosis for recovery of sensorimotor function below the level of injury

A

D, A

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

Neurological level of injury is the most ___ level where both sensory and motor systems are intact

A

rostral

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

more common at cervical levels resulting from a small fall in the forward direction

A

hyperextension injury

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

hyperextension injuries are frequently ____ injuries, and often associated with ___ ____ ___

A

incomplete, central cord syndrome

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

prognosis for recovery of below the level of hyperextension injury

A

good

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

these types of injures are common in high velocity injuries such as MVAs

A

Flexion

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

flexion injuries are associated with _____ SCI, suggesting the prognosis for recovery below the level of injury is ____

A

complete, poor

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

injuries are associated with diving accidents or large falls with force through the head or the pelvis

A

compression

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

compression injuries are associated with ____ SCI, suggesting the prognosis for recovery below the level of injury is ____

A

complete, usually poor

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

MRI classification: neuro findings are apparent, but no atypical findings are observed via imaging. Frequently associated with incomplete SCI. most frequently observed with children

A

Spinal Cord Injury without Radiographic Abnormality (SCIWORA)

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

MRI classification: frequently associated with MVAs or a fall forward. Most likely to be incomplete (AIS:C,D,E) and therefore have a good prognosis for recovery. Usually subclassified as having an incomplete spinal cord syndrome

A

Edematous

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

Prognosis for edematous mri classification

A

good

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

MRI classification: the most common cause of SCI. Usually caused by vertebral fx or subluxation, such that there is physical impact on the spinal cord causing both tissue damage and hemorrhage.

A

Contusion

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

prognosis for contusion mri classification

A

not good

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

MRI classification: intraspinal bleeding into the epidural, subdural, subarachnoid or intramedullary space. It is frequently related to unstable vertebral fx, which will require internal stabilization.

A

Hemorrhagic

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

The presence of _____ within the spinal cord (intramedullary space) is a poor indicator of recovery of ____

A

hemorrhage; function below the level of injury

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

MRI classification: occurs following a morphological change to the spinal cord. it is usually associated with sever vertebral dislocation, which requires surgical reduction and internal fixation.

A

Compression

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

compression injuries prognosis

A

poor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

MRI classification: penetrating injuries frequently related to acts of violence.

A

Transection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

transection injurys tend to be ____, and therefore have a poor prognosis for recovery below the injury

A

complete

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

associated with penetrating injury where the individual exhibits ipsilateral spastic hemiparesis and loss of light touch with contralateral loss of pain and temp

A

brown-sequard syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

regarding non-traumatic injuries, which spinal artery infarction has a better prognosis (ANT or POST)

A

posterior spinal artery infarction has a better prognosis than anterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

refers to the damage to axons, glial cells and support cells in the spinal cord

A

primary SCI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

refers to the subsequent spinal cord edema and decrease in spinal perfusion

A

secondary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

management of the ____ injury frequently determines the ultimate prognosis of the individual

A

secondary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

_______ _____ are used to reduce the implication of secondary injury

A

pharmacological agents

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Severity is based on the integrity of the

A

final sacral segment (ability to detect sensory stimuli and perform a motor contraction)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Complete SCI

A

AIS A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

sensorimotor function of the final sacral segment (S4-5) is disrupted

A

AIS A

33
Q

Usually have limited sensorimotor function below the level of injury except for the possibility of zone(s) of partial preservation

A

AIS A

34
Q

Incomplete SCI in which sensory function is preserved

A

AIS B

35
Q

The motor function of the final sacral segment has been disrupted

A

AIS B

36
Q

Usually have sensory but not motor function below the level of injury

A

AIS B

37
Q

Incomplete SCI in which limited sensorimotor function is preserved

A

AIS C

38
Q

Both sensor and motor function is preserved at the final sacral segment

A

AIS C D E

39
Q

most of the muscles below the level of injury are “weak” (MMT: 2/5 or 1/5)

A

AIS C

40
Q

Incomplete SCI in which sensorimotor function is preserved

A

AIS D

41
Q

Most of the muscle below the level of injury are strong (MMT:3,4,5/5)

A

AIS D

42
Q

Risk for SCI but no neurological findings are identified

A

AIS E

43
Q

most likely have LMN signs and sensorimotor impairment in the legs

A

Lumbar

44
Q

most likely have UMN and LMN signs and have sensorimotor impairment in the trunk and legs

A

Thoracic

45
Q

Most likely have UMN signs and have sensorimotor impairment in arms, trunk, and legs

A

Low cervical

46
Q

Most likely have UMN signs and difficulty activating respiratory muscle

A

High cervical

47
Q

SC levels with inability to grasp

A

C1-C5

48
Q

Ability to grasp with tenodesis

A

C6 C7

49
Q

Ability to grasp

A

C8 and down

50
Q

Ability to walk household distance

A

L2-L4

51
Q

Ability to walk community distance

A

S1 S2

52
Q

Cervical SCI that has preferentially damaged the gray matter in the middle of the cervical spinal cord

A

central cord injury

53
Q

symptoms of central cord injury

A

LE sensorimotor function> UE sensorimotor function

54
Q

prognosis of central cord injury

A

good for recovery below the level of injury

55
Q

Brown-Sequard syndrome is damage to half of the spinal cord that interferes with ipsilateral _____ and _____ tracts and contralateral ____ tract

A

coricospinal, dorsal column medial lemniscus, spinothalamic

56
Q

symptoms of brown sequard syndrom

A

ipsilateral spastic hemiparesis and loss of light touch, contralateral loss of pain and temp

57
Q

prognosis for brown sequard

A

good for recovery below level of injury

58
Q

damage to anterior half of the cord that disrupts the coricospinal tract as well as the spinothalamic tract (presereved proprioception below the level of injury

A

Anterior cord syndrome

59
Q

symptoms of anterior cord syndrome

A

motor function loss, and loss of pain and temp

60
Q

prognosis for anterior cord syndrome

A

poor for recovery below level of injury

61
Q

These two conditions cause areflexive bowel and bladder (loss of function) and areflexive lower limb

A

conus medullaris and cauda equina

62
Q

pharmaceutical management within ___ hours of injury to manage secondary injury are more likely to be classified as incomplete

A

6

63
Q

Injury below ___ have good prognosis for recovery of walking ability

A

L2

64
Q

Injury below ___ have a good prognosis for recovery of grasping ability

A

C7

65
Q

Direction of injury, best to worst prognosis

A

Extension, flexion, compression

66
Q

T/F level of injury is much less important than the severity of injury

A

T

67
Q

AIS A

A

complete: no motor or sensory fxn is preserved at the sacral segments

68
Q

AIS B

A

incomplete: sensory but not motor function is preserved below the neurological level and includes the sacral segments

69
Q

AIS C

A

incomplete: motor function is preserved below the neurological level and more than half of the key mm below the level have a mm grade less than 3

70
Q

AIS D

A

incomplete: motor function is preserved below the neurological level and at least half of key mm below the neurological level have mm grade of 3 or more

71
Q

CV system gone haywire caused by noxious stimulus

A

Autonomic dysreflexia

72
Q

T/F autonomic dysreflexia is a level problem, not severity problem

A

T, impacts individuals T6 and above

73
Q

Important ROS integumentary

A

ask about skin integrity

74
Q

Important ROS cardiopulmonary

A

if injury is T6 or above, ask if they have had autonomic dysreflexia (what was the irritant)

75
Q

Important ROS MSK

A

heterotopic ossification (ask about joint motion)

76
Q

Important ROS neuromuscular

A

consider undiagnosed change in neurological status (Syrinx or Tethered Cord), ask about a CHANGE in sensation, strength, coordination or stiffness (refer to neurologist if any changes present)

77
Q

only teach compensation when prognosis for recovery for typical movement pattern is

A

NOT realistic

78
Q

2 keys for skilled rolling

A

prepostion to reduce friction

use head and arms for momentum with tight back

Neuro management 2 (9 decks)

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