ADULT TEST 2 (USAHS) QUESTIONS
AND ANSWERS 100% CORRECT
About how many new cases a year of a SCI is there? - ANSWER-17,500
About how many people are living with SCI at the moment? - ANSWER-285,000
What are the leading causes of SCI? - ANSWER-MVA, followed by falls, acts of
violence and sports
What is the common common SCI injury? - ANSWER-Incomplete Tetraplegia
Most SCI occur to what population? - ANSWER-Young males
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
Conus Medullaris Syndrome - ANSWER-Injury to the sacral cord resulting in flaccid
paralysis of the lower extremities
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
What are some of the common tests for SCI? - ANSWER-- ROM
-SCI
- MAS
- GRASSP
SCI causes a disruption to the what> - ANSWER-Motor and sensory pathways at the
site of the lesion
How are SCI defined? - ANSWER-By both the severity and location of the injury
Neurological level SCI is classified by? - ANSWER-The lowest (most caudal) level of
the spinal cord with normal sensory and motor function bilaterall
When doing ASIA testing you should test? - ANSWER-Both sides all the way down
ASIA A - ANSWER-complete, no sensory or motor function is preserved in the sacral
segments S4-S5
, ASIA B - ANSWER-Incomplete; sensory but not motor function is preserved below the
neurological level and includes the sacral segments S4-5
ASIA C - ANSWER-Incomplete; motor function is preserved below the level of injury
with most of the muscle strength <3/5
ASIA D - ANSWER-Incomplete; motor function is preserved below the level of injury
with most of the muscle strength >3/5
AISA E - ANSWER-Normal
Tetraplega - ANSWER-- injury to cervical SC
- Impaired upper extremity function, trunk and lower extremity function
Paraplegia - ANSWER-Impaired lower extremity function and possibly trunk
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
Anterior cord syndrome - ANSWER-Incomplete spinal injury in which all functions are
absent below the level of except proprioception and sensation
Spinal Cord Independence Measure - ANSWER-Questionnaire regarding functional
independence for patients with SCI
Modified Ashworth Scale - ANSWER-To test for abnormal tone; apply quick stretch to
muscle so it is lengthened quickly
Graded Redefined Assessment of Strength, Sensibility and Prehension (GRASSP) -
ANSWER-Measures hand fxn (used for tetraplegia)
What are some complications that are related to SCI? - ANSWER-- Autonomic
dysreflexia
- Postural hypotension (orthostatic hypotension)
- Pressure ulcers (pressure sores, decubitus ulcers)
- Deep vein thrombosis (DVT)
- Heterotopic ossification (HO)
- Pain
- Spasticity
- Temperature regulation
A sudden dangerous increase in blood pressure is a possibility life-threatening
complication associated with lesions at the T6 level or above is what condition? -
ANSWER-Autonomic dysreflexia
AND ANSWERS 100% CORRECT
About how many new cases a year of a SCI is there? - ANSWER-17,500
About how many people are living with SCI at the moment? - ANSWER-285,000
What are the leading causes of SCI? - ANSWER-MVA, followed by falls, acts of
violence and sports
What is the common common SCI injury? - ANSWER-Incomplete Tetraplegia
Most SCI occur to what population? - ANSWER-Young males
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
Conus Medullaris Syndrome - ANSWER-Injury to the sacral cord resulting in flaccid
paralysis of the lower extremities
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
What are some of the common tests for SCI? - ANSWER-- ROM
-SCI
- MAS
- GRASSP
SCI causes a disruption to the what> - ANSWER-Motor and sensory pathways at the
site of the lesion
How are SCI defined? - ANSWER-By both the severity and location of the injury
Neurological level SCI is classified by? - ANSWER-The lowest (most caudal) level of
the spinal cord with normal sensory and motor function bilaterall
When doing ASIA testing you should test? - ANSWER-Both sides all the way down
ASIA A - ANSWER-complete, no sensory or motor function is preserved in the sacral
segments S4-S5
, ASIA B - ANSWER-Incomplete; sensory but not motor function is preserved below the
neurological level and includes the sacral segments S4-5
ASIA C - ANSWER-Incomplete; motor function is preserved below the level of injury
with most of the muscle strength <3/5
ASIA D - ANSWER-Incomplete; motor function is preserved below the level of injury
with most of the muscle strength >3/5
AISA E - ANSWER-Normal
Tetraplega - ANSWER-- injury to cervical SC
- Impaired upper extremity function, trunk and lower extremity function
Paraplegia - ANSWER-Impaired lower extremity function and possibly trunk
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
Anterior cord syndrome - ANSWER-Incomplete spinal injury in which all functions are
absent below the level of except proprioception and sensation
Spinal Cord Independence Measure - ANSWER-Questionnaire regarding functional
independence for patients with SCI
Modified Ashworth Scale - ANSWER-To test for abnormal tone; apply quick stretch to
muscle so it is lengthened quickly
Graded Redefined Assessment of Strength, Sensibility and Prehension (GRASSP) -
ANSWER-Measures hand fxn (used for tetraplegia)
What are some complications that are related to SCI? - ANSWER-- Autonomic
dysreflexia
- Postural hypotension (orthostatic hypotension)
- Pressure ulcers (pressure sores, decubitus ulcers)
- Deep vein thrombosis (DVT)
- Heterotopic ossification (HO)
- Pain
- Spasticity
- Temperature regulation
A sudden dangerous increase in blood pressure is a possibility life-threatening
complication associated with lesions at the T6 level or above is what condition? -
ANSWER-Autonomic dysreflexia
