Principles Of Rehabilitation Medicine (2) (Msq Drill 151)

1. Atonic paralysis of bowel/bladder and muscles below the lesion are flaccid _______ in spinal shock.

At the lesion

Below the lesion

Above the lesion

2. Patients with spinal shock have temporary loss of sweating and piloerection:

At the lesion

Below the lesion

Above the lesion

3.
Is a patient's reflexes have just returned after spinal shock, will they have a positive or negative babinski?

Positive babinski

Negative babinski

4. If a patient has spinal shock the patient has:

No sensation at the lesion

No sensation below the lesion

No sensation above the lesion

5. Patients with spinal shock will have no functional reflex arc with loss of motor function:

At the lesion

Below the lesion

Above the lesion

6. After the bulbocarvenosus reflex first comes back the reflexes come back. How do the reflexes first present when they come back?

Hyporeflexic

Normoreflexic

Hyperreflexic

7. If the cervical spinal cord is injured including the levels below it, what type of injury will this be?

Tetraplegia

Paraplegic

8. What is paresis?

Paralysis

Weakness

9. What is the level of injury?

Has triceps function usually with wrist flexion - Often independent with ADL’s, bladder/bowel and transfers. - Independent with manual wheelchair except for curbs. - Drives with adapted vehicle

C7 tetraplegia

T1-T12 paraplegia

High cervical tetraplegia

10. Does the diaphragm work in a patient with a high cervical tetraplegia?

Yes

No

11. What is the level of injury?
Has wrist extension - Rarely independent in ADL’s and Bladder management Often Independent in transfers - Uses manual wheelchair on level surfaces frequently uses a motorized - Drives with equipment

C4 tetraplegia

C5 tetraplegia

C6 tetraplegia

C7 tetraplegia

T1-T12 paraplegia

12. A high cervial tetraplegia basically involves injury to C4 and above. True or false?

True

False

13. Patients with C4 tetraplegia will usually be off the ventilator. True or false?

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True

False

14. Name the level of injury:

Diaphragm works-usually - Off Ventilator Can vocalize - Totally Dependent for ADLS Can move a wheelchair Can use an environmental control

High cervical tetraplegia

C4 tetraplegia

C5 tetraplegia

C6 tetraplegia

C7 tetraplegia