USAHS ADULT TEST EXAM 150+ QUESTIONS WITH
CORRECT DETAILED ANSWERS LATEST UPDATE THIS
YEAR - JUST RELEASED
QUESTION: Your patient sustained an injury to the central structures of the spinal cord that
produces sacral sensory sparing and greater weakness in the upper limbs than in the lower
limbs. What SCI is this? - ANSWER-Central Cord
QUESTION: Anterior cord syndrome - ANSWER-Incomplete spinal injury in which all functions
are absent below the level of except proprioception and sensation
QUESTION: Your patient presents with an incomplete spinal cord injury where half of the cord
has been damaged. Exhibit more loss of motor and proprioceptive ipsilateral to injury and loss
of pain and sense of temperature on contralateral side. What SCI is this? - ANSWER-Brown-
Seqaurd
QUESTION: Conus Medullaris Syndrome - ANSWER-Injury to the sacral cord resulting in flaccid
paralysis of the lower extremities
1
,Page 2 of 31
QUESTION: Your patient sustained injury to the lumbar and sacral nerves roots results in
flaccid-type paralysis
Pattern of paralysis varies. What SCI is this? - ANSWER-Cauda Equina Syndrome
QUESTION: What are some of the common tests for SCI? - ANSWER-- ROM
-SCI
- MAS
- GRASSP
QUESTION: Spinal Cord Independence Measure - ANSWER-Questionnaire regarding functional
independence for patients with SCI
QUESTION: Modified Ashworth Scale - ANSWER-To test for abnormal tone; apply quick stretch
to muscle so it is lengthened quickly
QUESTION: Graded Redefined Assessment of Strength, Sensibility and Prehension (GRASSP) -
ANSWER-Measures hand fxn (used for tetraplegia)
About how many new cases a year of a SCI is there? - ANSWER-17,500
2
,Page 3 of 31
QUESTION: About how many people are living with SCI at the moment? - ANSWER-285,000
QUESTION: What are the leading causes of SCI? - ANSWER-MVA, followed by falls, acts of
violence and sports
QUESTION: What is the common common SCI injury? - ANSWER-Incomplete Tetraplegia
QUESTION: Most SCI occur to what population? - ANSWER-Young males
QUESTION: SCI causes a disruption to the what> - ANSWER-Motor and sensory pathways at the
site of the lesion
QUESTION: How are SCI defined? - ANSWER-By both the severity and location of the injury
QUESTION: Neurological level SCI is classified by? - ANSWER-The lowest (most caudal) level of
the spinal cord with normal sensory and motor function bilaterall
QUESTION: When doing ASIA testing you should test? - ANSWER-Both sides all the way down
3
, Page 4 of 31
QUESTION: ASIA A - ANSWER-complete, no sensory or motor function is preserved in the sacral
segments S4-S5
QUESTION: ASIA B - ANSWER-Incomplete; sensory but not motor function is preserved below
the neurological level and includes the sacral segments S4-5
QUESTION: ASIA C - ANSWER-Incomplete; motor function is preserved below the level of injury
with most of the muscle strength <3/5
QUESTION: ASIA D - ANSWER-Incomplete; motor function is preserved below the level of injury
with most of the muscle strength >3/5
QUESTION: AISA E - ANSWER-Normal
QUESTION: Tetraplega - ANSWER-- injury to cervical SC
- Impaired upper extremity function, trunk and lower extremity function
QUESTION: Paraplegia - ANSWER-Impaired lower extremity function and possibly trunk
4