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When would you likely see Lhermitte's sign ---------CORRECT ANSWER-----------------
Following a whiplash syndrome injury
When visualizing back what should you look for for injuries? ---------CORRECT
ANSWER-----------------edema, erythema, ecchymosis, battle sign, neuro changes,
step offs
Primary spinal cord injury ---------CORRECT ANSWER-----------------Results from cord
being cut, torn, or crushed or by its blood supply being cut off
Secondary Spinal Cord injury ---------CORRECT ANSWER-----------------Caused by
secondary effects from injury. Occurs from hypotension, generalized hypoxia,
injury to blood vessels, edema, compression of cord from surrounding
hemorrhage
What are some causes of sciatica? ---------CORRECT ANSWER-----------------Caused
by injury to or compression of sciatic nerve. Usually due to intervertebral disk
herniation causing compression of nerve roots
,Special Test for Sciatica ---------CORRECT ANSWER-----------------Straight Leg Raise
How much PT can usually manage Sciatica ---------CORRECT ANSWER-----------------
3-4 weeks with medication for px
Common exam findings with Sciatica ---------CORRECT ANSWER-----------------
Abnormal Posturing
< ROM
< Muscle strength
What is the difference between muscle spasm and cramp? ---------CORRECT
ANSWER-----------------Force of the contraction. If it is quick contraction and
release of muscle without px it is spasm. Cramp is prolonged with px
Special Test for Muscle Strain ---------CORRECT ANSWER-----------------MRI
Special Test for muscle spasm ---------CORRECT ANSWER-----------------Blood test
,Why do you use a blood test for muscle spasms? ---------CORRECT ANSWER----------
-------Check Na and other electrolytes for causing factors
Number one cause of TBI in combat ---------CORRECT ANSWER-----------------Blast
injuries
What are the three types of TBIs ---------CORRECT ANSWER-----------------Mild,
Moderate, Severe
S/Sx Mild TBI ---------CORRECT ANSWER-----------------Transient confusion, Delayed
verbal or motor response, Disorientation, Slurred or coherent speech, Any period
of LOC
What is the most common type of TBI? ---------CORRECT ANSWER-----------------
Mild. Dead Man Walking
S/Sx Moderate/Severe TBI ---------CORRECT ANSWER-----------------LOC, Personality
change, Severe persistent Headache, Repeating N&V, SZ, Inability to awaken,
Dilation of both pupils, Slurred speech, Weakness or numbness in extremities,
Loss of coordination, Increased confusion,
, What does MACE stand for? ---------CORRECT ANSWER-----------------Military Acute
Concussion Evaluation
How often should Neuro testing be performed? ---------CORRECT ANSWER-----------
------Semiannually or as mission dictates to ID TBIs
What are the five domains of MACE? ---------CORRECT ANSWER-----------------
Orientation, Immediate Memory, Neurological Screening, Concentration, Delayed
Recall
What are the mandated events that require MACE ---------CORRECT ANSWER-------
----------1) Involved in vehicle associated blast event, collision, rollover
2) Within 50 meters of blast
3) Anyone who sustains a direct blow to head
4) Command directed, such as but not limited to repeated exposures
What is a Red Flag ---------CORRECT ANSWER-----------------Ominous sign of a
worsening condition.
Level 2 Evacuation Decision Red Flags ---------CORRECT ANSWER-----------------1)
Any positive answer to MACE items V-VIII