Adult Test 2 (USAHS) Complete Questions And Answers

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 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 <3/5ASIA 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? - AnswerCentral Cord Anterior cord syndrome - Answer-Incomplete spinal injury in which all functions are absent below the level of except proprioception and sensation 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 - GRASSPSpinal 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 Postural hypotension - Answer-A sudden drop in BP occurring when a person assumes an upright position How can the OT combat postural hypotension? - Answer-Elastic compression socks and abdominal binders When in bed how often should a SCI patient change postions? - Answer-Every 2 hoursWhat is the therapist roles when dealing with pressure ulcers? - Answer-- Training in pressure relieving and skin inspection - establish routines to check vulnerable areas - Evaluate equipment and train on proper weight shift techniques - Perform pressure mapping