spinal cord injuries/TBI/stroke

Question 1

brown sequard

Answer 1

causes:
ipsilateral paralysis and sensory loss

contralateral proprioception, light touch, vibratory sense

Question 2

what SCI: LE more involved than UE, loss of pain, temperature

Answer 2

Anterior cord syndrome

Question 3

S&S of what type of SCI: UE>LE, typically regain ability to walk

Answer 3

central cord syndrome

Question 4

S&S of what type of inury: bowel and bladder areflexia, saddle anesthesia

Answer 4

cauda equina

Question 5

want to maintain tendonesis in all injuries above

Answer 5

C6

Question 6

S&S of what type of stroke: UE>LE, contralateral homonymous hemianopsia,

Answer 6

MCA

Question 7

expressive nonfluent aphasia

Answer 7

brocas (BEN)

cannot talk but can understand

Question 8

receptive fluent aphasia

Answer 8

wernikes

can talk but cannot understand

Question 9

hand pt toothbrush but doesn’t know what to do with it

Answer 9

IDEAtional apraxia (doesnt know what to do)

Question 10

tell pt to brush teeth and they cannnot follow command, but when left alone they can brush teeth

Answer 10

ideoMOTOR apraxia

(cannot follow motor command but can complete task

Question 11

S&S of what type of stroke: contralateral homonymous hemianopsia, memory deficits, visual agnosia, central post-stroke pain

Answer 11

posterior CVA

Question 12

S&S of what type of stroke: MCA + ACA involvement

Answer 12

internal carotid

Question 13

S&S of what type of stroke: often catastrophic, comatose, quads, poor prognosis
LOCKED IN SYNDROME

Answer 13

vertebrobasalar artery

Question 14

R CVA presentation

Answer 14

left weakness, left neglect, poor judgement, impulsitivity, short attention span, communication issues, cog issues

Rambunctious: impulsive

Question 15

L CVA presentation

Answer 15

R weakness/paralysis, aphasia (2/2 wernicke’s or broca’s), personality changes, difficult with new info

oLd: cautious in decsion making

Question 16

UE synergy flexion pattern

Answer 16

SCAPULA: retraction, elevation and/or hyperextension
SHOULDER: abd and ER
ELBOW: flexion
FOREARM: supination
WRIST/FINGER: flexion

Question 17

LE synergy flexion pattern

Answer 17

HIP: flexion, abd, and ER
KNEE: flex
ANKLE: DF
TOE: flex

Question 18

Brunnstrome’s stages of recovery (what are the important #s)

Answer 18

stage 1: flacid
stage 4: movement outside synnergy
stage 7: normal function

Question 19

Chop

Answer 19

lead arm goes away from body
OUT OF SYNERY
D1 flex-> D1 ext

Question 20

lift

Answer 20

lead arm goes towards body

D2 ext-> D2 flex

Question 21

Glascow coma scale

Answer 21

<8 real bad 
15 is normal
eyes open score: 1-4
verbal response: 1-5 (think 5 fingers to mouth)
motor response: 1-6 (thumbs up)

Question 22

decorticate position

Answer 22

UE in flex, LE in ext

Question 23

decerebrate

Answer 23

extensor tone in all

Question 24

opisthotonus

Answer 24

looks like you are being possessed strong ext through out including neck

Question 25

ranchos

Answer 25

I is no response
IV is confused and agitated
VIII is purposeful and appropriate

Question 26

what type of stroke:

LE>UE, memory and behavioral impairements

Answer 26

anterior cerebral artery