Student Final Questions Flashcards
The most common traumatic cause of SCI are: A) Falls B) Recreational Sports C) MVA’s D) Acts of Violence
C) MVA’s
The SCI that involves more UE impairment than LE: A) Brown-Sequard Syndrome B) Posterior Cord Syndrome C) Anterior Cord Syndrome D) Central Cord Syndrome
D) Central Cord Syndrome
The highest frequency of vertebral level involvement are seen in: A) C5, C7, T1, L2 B) C5, C7, T12, L2 C) C5, C7, T1, L5 D) C5, C7, T12, L5
B) C5, C7, T12, L2
An recently disabled NFL player comes into clinic and his neurological level of injury has been diagnosed as a T-11 paraplegic. What is the prognosis of his ambulation potential?
A) good prognosis of Ambulation
B) good prognosis for community Ambulation
C) No good prognosis for ambulation
D) Household ambulatory
A) good prognosis of Ambulation
In a pt. with a SCI, What are the possible steps needed to prevent a UTI?
A) Drink Plenty of Water
B) Drink a beverage with sugar, caffeine, and alcohol
C) Look for sediment (gritty particles) or mucus in the urine or for four odor in the urine
D) Catherterize more often.
A) Drink Plenty of Water
A pt. with a SCI comes into clinic and presents with spastic hypertonia of the UE flexor muscles. A functional advantage of having Spastic Hypertonia is:
A) maintain muscle tone and mass
B) affects posture and ability to maintain balance, transfer, and change positions.
C) Causing pain due to stress on joints and muscles.
D) Can act as a warning sign for conditions such as autonomic dysflexia
A) maintain muscle tone and mass
With a \_\_\_\_ neurological injury, it is impossible to accurately predict the eventual amount of return of an individual's function. A) Complete B) Incomplete C) Partial D) Complex
B) Incomplete
Individuals with a C3 or higher level of injury PRIMARILY focus on what for functional goals?
A) Bowel + bladder control
B) Communication + wheelchair mobility
C)Skin checks + pressure relief techniques
D) Bathing + grooming
B) Communication + wheelchair mobility
To establish functional goals for a patient with a C6 level of injury, motor function of the ___
must score 3 or better on the classification form.
A) Elbow extensors
B) Wrist extensors
C) Elbow extensors
D) Finger flexors
B) Wrist extensors
Which of the following is NOT true regarding pressure sores in SCI patients?
A) Up to 80% of individuals with SCI will have a pressure sore in their lifetime.
B) 30% of individuals with SCI will have more than one pressure sore in their lifetime.
C) Redness persisting more than 15 minutes since pressure relief indicates a pressure sore has
D) Damage to the skin has already occurred by the time you realize there is a problem.
C) Redness persisting more than 15 minutes since pressure relief indicates a pressure sore has
Physical therapy techniques for helping an individual with SCI clear their airway include all of the following EXCEPT:
A) Assisted coughing
B) CPAP and BiPAP
C) Positioning in supine or Trendelenburg
D) Patient education
B) CPAP and BiPAP
The examination of one’s environment includes all of the following EXCEPT:
A) interviews
B) self-reports (checklists, questionnaires) and performance-based measures (observation) of
function
C) measures of environmental impact on function
D) viewing the environment within the environment itself
D) viewing the environment within the environment itself
Which of the following is a principle of universal design? A) Equitable Use B) Firmness in Use C) Complex and Intuitive D) High Physical Exertion
A) Equitable Use
When prescribing a wheelchair a physical therapist should consult the patient, the patient’s family and the entire health care team
A) Before prescribing wheelchair selection, fit and wheelchair training
B) After prescribing the wheelchair selection, fit and wheelchair training
C) During wheel training and fitting process
D) Before, during and after wheelchair selection, fit and training.
D) Before, during and after wheelchair selection, fit and training.
Individuals using a wheelchair who have fair to good trunk control usually require only back support to the A) Inferior angle of the scapula B) Lower thoracic spine C) Mid-scapula D) Upper cervical spine
C) Mid-scapula
Spasticity can positively or negatively affect a patient’s seated posture, which of the following types
of spasticity is most likely to negatively impact a patient’s posture
A) Spasticity in the hip adductors because it can account for hip dislocations
B) Spasticity in the lower trunk musculature can negatively affect sitting posture by decreasing trunk
Stability
C) Spasticity in the long finger flexors can negatively affect wheelchair propulsion
D) Spasticity in the hip flexors causing pelvic obliquity
A) Spasticity in the hip adductors because it can account for hip dislocations
A LMN injury includes: A) Increased muscle tone B) Spastic paralysis C) Increased muscle stretch reflexes D) Absent muscle stretch reflexes
D) Absent muscle stretch reflexes
In the ASIA classification form, what is the neurological level?
A)The lowest segment where motor and sensory function is normal on both sides
B) The highest segment where motor and sensory function is normal on both sides
C) The lowest segment where motor is normal and sensory is not
D) The lowest segment where sensory is normal and motor is not
A)The lowest segment where motor and sensory function is normal on both sides
What is the key sensory point for C3?
A) At least one cm lateral the occipital protuberance at the base of the skull
B)At least 3 cm behind the ear
C) In the supraclavicular fossa, at the midclavicular line
D) Over the acromioclavicular joint
C) In the supraclavicular fossa, at the midclavicular line
An individual with a SCI shows signs of sensory impairment but motor function is preserved below the neurological level and includes the sacral segments S4-S5 (light touch, pin prick, at S4-S5: or deep anal pressure (DAP)), and no motor function is preserved more than three levels below the motor level on either side of the body. This individual is in category: A) A B) B C) C D) D
B) B
Zone of partial preservation is categorized:
A) in complete injuries only
B) in incomplete injuries only
C) in partial injuries only
D) in both complete and incomplete injuries
A) in complete injuries only
Key muscles in the ASIA form include all of the following muscles except: A) elbow flexors B)elbow extensors C) ankle plantar flexors D) long toe flexors
D) long toe flexors
Which of the following describes a pathological deformity that causes inversion and supination of the foot during gait? A) Equinus Gait B) Equinovarus Gait C) Calcaneal Gait D) Genu Varum Gait
B) Equinovarus Gait
You observe your patient walking into your clinic and notice the patient has knee “drop off” and a shortened swing phase with an early HS. Which of the following is most likely to be the cause of this? A) Eccentric Knee Flexors B) Eccentric Hip Extensors C) Concentric Knee Extensors D) Eccentric Knee Extensors
D) Eccentric Knee Extensors
Patient presents with excess plantarflexion. Which of the following may be present as a result of this deviation?
A) Post Tib weakness causing inability to counteract the excess PF
B) Loss of medial arch support, causing increased foot pronation during the PF
C) Decreased foot rocker in stance, leading to a shorter stance phase
D) Increased demand on knee and hip extensors to counteract the posterior force resulting from excess PF
C) Decreased foot rocker in stance, leading to a shorter stance phase
Witch patient is more likely to become an amputee?
A) A 85 year old lady that is inactive and a history of peripheral vascular disease
B) A middle aged construction worker that works with power tools
C) A 35 year old patient with Diabetes Mellitus
D) A taxi driver that has a history of driving violations and has a BMI of 35.
A) A 85 year old lady that is inactive and a history of peripheral vascular disease
