Principles Of Rehabilitation Medicine (2) (Msq Drill 151)

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Questions and Answers

1.

If a patient has spinal shock the patient has:
- A.
  
  No sensation at the lesion
- B.
  
  No sensation below the lesion
- C.
  
  No sensation above the lesion
Correct Answer
B. No sensation below the lesion
2.

Patients with spinal shock will have no functional reflex arc with loss of motor function:
- A.
  
  At the lesion
- B.
  
  Below the lesion
- C.
  
  Above the lesion
Correct Answer
B. Below the lesion
3.

Atonic paralysis of bowel/bladder and muscles below the lesion are flaccid _______ in spinal shock.
- A.
  
  At the lesion
- B.
  
  Below the lesion
- C.
  
  Above the lesion
Correct Answer
B. Below the lesion
4.

Patients with spinal shock have temporary loss of sweating and piloerection:
- A.
  
  At the lesion
- B.
  
  Below the lesion
- C.
  
  Above the lesion
Correct Answer
B. Below the lesion
5.

Spinal shock usually lasts for how long?
- A.
  
  1 week
- B.
  
  2 months
- C.
  
  3 weeks
- D.
  
  3 months
Correct Answer
D. 3 months
6.

After the bulbocarvenosus reflex first comes back the reflexes come back. How do the reflexes first present when they come back?
- A.
  
  Hyporeflexic
- B.
  
  Normoreflexic
- C.
  
  Hyperreflexic
Correct Answer
C. Hyperreflexic
7.

Is a patient's reflexes have just returned after spinal shock, will they have a positive or negative babinski?
- A.
  
  Positive babinski
- B.
  
  Negative babinski
Correct Answer
A. Positive babinski
8.

If the cervical spinal cord is injured including the levels below it, what type of injury will this be?
- A.
  
  Tetraplegia
- B.
  
  Paraplegic
Correct Answer
A. Tetraplegia
9.

What is paresis?
- A.
  
  Paralysis
- B.
  
  Weakness
Correct Answer
B. Weakness
10.

Name the level of injury: Diaphragm works-usually - Off Ventilator Can vocalize - Totally Dependent for ADLS Can move a wheelchair Can use an environmental control
- A.
  
  High cervical tetraplegia
- B.
  
  C4 tetraplegia
- C.
  
  C5 tetraplegia
- D.
  
  C6 tetraplegia
- E.
  
  C7 tetraplegia
Correct Answer
B. C4 tetraplegia
11.

What is the level of injury? Has wrist extension - Rarely independent in ADL’s and Bladder management Often Independent in transfers - Uses manual wheelchair on level surfaces frequently uses a motorized - Drives with equipment
- A.
  
  C4 tetraplegia
- B.
  
  C5 tetraplegia
- C.
  
  C6 tetraplegia
- D.
  
  C7 tetraplegia
- E.
  
  T1-T12 paraplegia
Correct Answer
C. C6 tetraplegia
12.

What is the level of injury? Has triceps function usually with wrist flexion - Often independent with ADL’s, bladder/bowel and transfers. - Independent with manual wheelchair except for curbs. - Drives with adapted vehicle
- A.
  
  C7 tetraplegia
- B.
  
  T1-T12 paraplegia
- C.
  
  High cervical tetraplegia
Correct Answer
A. C7 tetraplegia
13.

A high cervial tetraplegia basically involves injury to C4 and above. True or false?
- A.
  
  True
- B.
  
  False
Correct Answer
A. True
14.

Does the diaphragm work in a patient with a high cervical tetraplegia?
- A.
  
  Yes
- B.
  
  No
Correct Answer
B. No
15.

Which of the following are other characteristics of a high cervical tetraplegia?
- A.
  
  No arm movement
- B.
  
  Needs a ventilator
- C.
  
  Usually does not vocalize
- D.
  
  Dependant for ADLs
- E.
  
  Can move a wheelchair and use an environmental control
Correct Answer(s)
A. No arm movement
B. Needs a ventilator
D. Dependant for ADLs
E. Can move a wheelchair and use an environmental control

Explanation
a high cervical tetraplegia can usuallyu vocalize.

Rate this question:
16.

Patients with C4 tetraplegia will usually be off the ventilator. True or false?start from slide 66
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

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Current Version
Feb 16, 2019

Quiz Edited by
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May 08, 2010

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Principles Of Rehabilitation Medicine (2) (Msq Drill 151)

If a patient has spinal shock the patient has:

Patients with spinal shock will have no functional reflex arc with loss of motor function:

Atonic paralysis of bowel/bladder and muscles below the lesion are flaccid _______ in spinal shock.

Patients with spinal shock have temporary loss of sweating and piloerection:

Spinal shock usually lasts for how long?

After the bulbocarvenosus reflex first comes back the reflexes come back. How do the reflexes first present when they come back?

Is a patient's reflexes have just returned after spinal shock, will they have a positive or negative babinski?

If the cervical spinal cord is injured including the levels below it, what type of injury will this be?

What is paresis?

Name the level of injury: Diaphragm works-usually - Off Ventilator Can vocalize - Totally Dependent for ADLS Can move a wheelchair Can use an environmental control

What is the level of injury? Has wrist extension - Rarely independent in ADL’s and Bladder management Often Independent in transfers - Uses manual wheelchair on level surfaces frequently uses a motorized - Drives with equipment

What is the level of injury? Has triceps function usually with wrist flexion - Often independent with ADL’s, bladder/bowel and transfers. - Independent with manual wheelchair except for curbs. - Drives with adapted vehicle

A high cervial tetraplegia basically involves injury to C4 and above. True or false?

Does the diaphragm work in a patient with a high cervical tetraplegia?

Which of the following are other characteristics of a high cervical tetraplegia?

Patients with C4 tetraplegia will usually be off the ventilator. True or false?start from slide 66