Questions & Answers 2023/2024
WeeFIM (Functional Independence Measure for Children) correct answers evaluate functional
parameters in children
-6mo to 16 years
WeeFIM II correct answers use with children up to 3 years
Pediatric Evaluation of Disability Inventory (PEDI) correct answers Pediatric Evaluation of Disability
Inventory assesses key functional capabilities and performance in children ages 6 months to 7 years.
PEDI is also useful for older children whose functional abilities are lower than those of seven-year-olds
without disabilities.
metabolic syndrome correct answers A syndrome marked by the presence of usually three or more of a
group of factors (as high blood pressure, abdominal obesity, high triglyceride levels, low HDL levels, and
high fasting levels of blood sugar) that are linked to increased risk of cardiovascular disease and Type 2
diabetes.
Braden Scale correct answers Pressure ulcers
lower the number, higher the risk
4-23
less than 17 = risk for pressure ulcers
pressure ulcer scale for healing (PUSH) correct answers Categorizes with respect to surface area,
exudate, and type of wound tissue; measured over time provides an indication of the improvement or
deterioration in healing.
Pharynx correct answers throat; passageway for food to the esophagus and air to the larynx
cricopharyngeal muscle correct answers lower portion of the inferior pharyngeal constrictor, reduces
diameter of lower pharynx, muscular opening of the esophagus
Oral Preparatory Phase correct answers when food is manipulated in the mouth and masticated if
necessary, reducing it to a consistency ready for swallow
pharyngeal stage correct answers involuntary passage through pharynx into esophagus
Supraglottic swallow correct answers For: *Delayed pharyngeal swallow*
Reduced or delayed initiation laryngeal closure
How: Pt *hold breath while swallow*, *cough*, swallow again
mendelson maneuver correct answers Insufficient laryngeal elevation
-pt places hand on their larynx and swallows to sense where larynx is positioned
ALS swallowing symptoms correct answers poor tongue control, mobility
, incomplete chewing or impaired pharyngeal motility
Parkinson's and swallowing correct answers has difficulty with all stages of swallowing
Cerebral palsy and swallowing correct answers linked to poor suck and other unsuitable reflexes during
oral phase
antispasmodic correct answers administered to suppress smooth muscle contractions of the stomach,
intestine, or bladder
Anticholinergics correct answers Atropine
GI - Slows motility, spasm
Eyes - Dilates pupils *DO NOT GIVE TO GLAUCOME PTS*
Heart - Increase HR
Resp - bronchodilator (Atrovent)
anticholinergic and antispasmodic drugs correct answers oxybutynin (Ditropan)
tolterodine (Detrol)
uninhibited neurogenic bladder correct answers uninhibited contractions and complete voiding without
residual
-caused by lesions in brain or subcortical areas
reflex neurogenic bladder correct answers have little to no awareness of voiding patter
Reflex
T12 SCI
autonomus neurogenic bladder correct answers unawareness of fullness, dribbling, emptying
-lower neural damage to sacral reflex arc
motor paralytic bladder correct answers Damage at the S2-S4 level
-have feelings of fullness/emptiness
-decrease function and tone
-difficult or incomplete urination
(herniated disc, trauma to pelvis, poliomyelitis)
sensory paralytic bladder correct answers -cannot sense voiding needs
-can initiate voiding
-high volume, infrequent voids
(damage during childbirth, DM, PVD, pelvic trauma)
spinal shock correct answers -loss of reflex capabilities below injury
-risk for autonomous neurogenic bladder
Autonomic Dysreflexia most often at what SCI correct answers (T-7 or above)
uninhibited neurogenic bowel correct answers results from neural lesions in the cortical and subcortical
regions above C1