68W ALC Phase 3 Test 2 LPC Questions With Complete Solutions

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 2) Double vision