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5.0
OCCTH 585 FINAL EXAM QUESTIONS
LATEST 2024-2025 AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
spinal shock acute phase
ANS:
✓ - occurs in the first several weeks after SCI
✓ - state of transient physiological reflex depression
✓ - suspension of function and reflexes below the level of injury - loss of all
sensorimotor functions
✓ - an initial increase in BP
✓ - flaccid paralysis, including bowel and bladder
neurogenic shock
ANS:
Examstudy - Stuvia US | Wednesday, 18 December 2024
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5.0
✓ - disruption of the autonomic pathways within the spinal cord
✓ - shock tends to occur more commonly in injuries around T6
✓ - due to disruption of the sympathetic outflow from T1 to L2 resulting in
supraspinal control over the sympathetic nervous system
✓ - results in severe hypotension (low BP) and bradycardia (low HR)
✓ - can lead to organ dysfunction and requires immediate treatment
autonomic dysreflexia
ANS:
✓ - life threatening condition that occurs in SCI above T5-T6 (can occur
lower)
✓ - massive imbalanced reflex sympathetic discharge resulting from non-
noxious stimuli
✓ - pounding headache, sudden increase in BP, sweating above the
injury level, flushed face
✓ - requires emergency medical attention
✓ - if observed, have patient sit-up and dangle legs at bedside
orthostatic hypotension (postural)
ANS:
✓ low BP that occurs when standing from sitting or lying down - can
make you feel diy and lightheaded (falls risk)zz
Examstudy - Stuvia US | Wednesday, 18 December 2024
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5.0
anterior cord syndrome
ANS:
✓ - loss of touch, pain, temperature sensation
✓ - loss of motor
✓ - proprioception, kinaesthesia, and vibratory sense intact
✓ - poor prognosis for neural recovery
✓ - commonly caused by infarct, traumatic bending, or spinal stenosis
posterior cord syndrome
ANS:
✓ - loss of proprioception
✓ - motor and pain preserved
✓ - poor prognosis for ambulation due to impact on proprioception
central cord syndrome
ANS:
✓ - associated with cervical region injury
✓ - greater weakness in the upper limbs than the lower limbs
✓ - pain, temperature sensation preserved
✓ - usually due to hyperextension (whiplash in MVA)
✓ - seen in older age
Examstudy - Stuvia US | Wednesday, 18 December 2024
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5.0
brown-sequard syndrome
ANS:
✓ - hemi-section
✓ - ipsilateral motor and proprioception loss (flaccid at level of injury;
spasticity paralysis below lesion)
✓ - contralateral pain and temperature sensation loss
✓ - favourable prognosis for ambulation, ADL independence, and
bladder control
ASIA impairment scale
ANS:
✓ A - complete, no motor or sensory
✓
✓ B - incomplete, sensory preserved (no motor)
✓
✓ C - incomplete, motor preserved (>50% muscle grade less than 3)
✓
✓ D - incomplete, motor preserved (>50% muscle grade 3+)
✓
✓ E - normal
C4
ANS:
Examstudy - Stuvia US | Wednesday, 18 December 2024
5.0
OCCTH 585 FINAL EXAM QUESTIONS
LATEST 2024-2025 AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
spinal shock acute phase
ANS:
✓ - occurs in the first several weeks after SCI
✓ - state of transient physiological reflex depression
✓ - suspension of function and reflexes below the level of injury - loss of all
sensorimotor functions
✓ - an initial increase in BP
✓ - flaccid paralysis, including bowel and bladder
neurogenic shock
ANS:
Examstudy - Stuvia US | Wednesday, 18 December 2024
,| OnlineExams | TestPrep | StudyResources | AcademicSuccess | ExamPreparation | QuizTime | LearningTools | Education | StudentSupport
5.0
✓ - disruption of the autonomic pathways within the spinal cord
✓ - shock tends to occur more commonly in injuries around T6
✓ - due to disruption of the sympathetic outflow from T1 to L2 resulting in
supraspinal control over the sympathetic nervous system
✓ - results in severe hypotension (low BP) and bradycardia (low HR)
✓ - can lead to organ dysfunction and requires immediate treatment
autonomic dysreflexia
ANS:
✓ - life threatening condition that occurs in SCI above T5-T6 (can occur
lower)
✓ - massive imbalanced reflex sympathetic discharge resulting from non-
noxious stimuli
✓ - pounding headache, sudden increase in BP, sweating above the
injury level, flushed face
✓ - requires emergency medical attention
✓ - if observed, have patient sit-up and dangle legs at bedside
orthostatic hypotension (postural)
ANS:
✓ low BP that occurs when standing from sitting or lying down - can
make you feel diy and lightheaded (falls risk)zz
Examstudy - Stuvia US | Wednesday, 18 December 2024
,| OnlineExams | TestPrep | StudyResources | AcademicSuccess | ExamPreparation | QuizTime | LearningTools | Education | StudentSupport
5.0
anterior cord syndrome
ANS:
✓ - loss of touch, pain, temperature sensation
✓ - loss of motor
✓ - proprioception, kinaesthesia, and vibratory sense intact
✓ - poor prognosis for neural recovery
✓ - commonly caused by infarct, traumatic bending, or spinal stenosis
posterior cord syndrome
ANS:
✓ - loss of proprioception
✓ - motor and pain preserved
✓ - poor prognosis for ambulation due to impact on proprioception
central cord syndrome
ANS:
✓ - associated with cervical region injury
✓ - greater weakness in the upper limbs than the lower limbs
✓ - pain, temperature sensation preserved
✓ - usually due to hyperextension (whiplash in MVA)
✓ - seen in older age
Examstudy - Stuvia US | Wednesday, 18 December 2024
, | OnlineExams | TestPrep | StudyResources | AcademicSuccess | ExamPreparation | QuizTime | LearningTools | Education | StudentSupport
5.0
brown-sequard syndrome
ANS:
✓ - hemi-section
✓ - ipsilateral motor and proprioception loss (flaccid at level of injury;
spasticity paralysis below lesion)
✓ - contralateral pain and temperature sensation loss
✓ - favourable prognosis for ambulation, ADL independence, and
bladder control
ASIA impairment scale
ANS:
✓ A - complete, no motor or sensory
✓
✓ B - incomplete, sensory preserved (no motor)
✓
✓ C - incomplete, motor preserved (>50% muscle grade less than 3)
✓
✓ D - incomplete, motor preserved (>50% muscle grade 3+)
✓
✓ E - normal
C4
ANS:
Examstudy - Stuvia US | Wednesday, 18 December 2024
