Principles Of Rehabilitation Medicine (Msq Drill 152)

2. Sometimes the disease that we are treating becomes chronic with symptoms, impairment and disability that persist, is it appropriate to consider rehabilitation to limit the adverse effects of these persisiting symptoms on this person's life?

Yes

No

3. In other words, we accept that the adverse effects are going to be present, but through rehabilitation we want to limit these effects on our patients. True or false?

True

False

4. The rehabilitation team comprises of the physician and physical therapist only or it is very multidisciplinary?

Physician and physical therapist only

Very multi disciplinary

5. What discpiline within the rehabiliation interdisciplinary team focuses on mobility issues and training, muscle strength, joint range of motion and uses modalities such as ultrasound, traction, heat, cold, whirlpool, massage and electrical stimiulation?

Occupational therapy

Speech pathology

Physical therapy

Social worker

Orthotist

7. What is the most common cause of spinal chord injury in the elderly?

MVA

Falls

Guns and knives

Diving

9. Our goal of successful rehabilitation is to assist the patient to reach the highest level of independance, improve their quality of life and minimize utlization of resources., True or false?

True

False

10. When a disease causes anatomic symptoms it becomes a(n):

Handicap

Impairment

Disability

11. If my disease is T6 paraplegia and I am unable to empty my bladder. Is being unable to empty my bladder, a disability or a hendicap?

Disability

Handicap

14. What is phase one of medical care associated with?

Pain management

Rehabilitation

Preventive care

16. Which therapy focuses on self care activities or activities of daily living?

Physical

Occupational

Speech

22. Which therapy focuses on swallowing?

Physical

Occupational

Speech

24. In studies that have been done, the eventual cause of death in patients with spinal chord injuries mirrored that of the general population with CV disease being the most common reason. True or false?

True

False

25. What drug will you give STAT initially in the treatrment of spinal chord injuries?

Dexamethasone

Prednisone PO

Methylprednisolone IV

Indomethacin IV

27. If you have had an incomplete spinal chord injury is it possible to have recovery of bowel and bladder function, anal wink and voluntary contraction?

Yes

No

28. After a case of spinal shock, what is the first reflex to return?

Patellar

Biceps

Bulbocavernosus

29. A pathology or a problem that has its own unique signs and symptoms is known as a(n):

Impairment

Disability

Disease

Handicap

30. What areas must we consider when we looking at a patient from a rehabilitation perspective?

Medical

Psychological

Social

Economic

Submit

31. What accident has the highest contribtution of 46% inthe etiology of spinal chord injury in the USA?

MVA

Falls

Guns and knives

Diving

34. What is the neurological level?

The most proximal segment with no motor or sensory function bilaterally

The most caudad level with no motor or sensory function bilaterally

The most caudad level with both normal motor and senory function bilaterally

35. So, not being able to play football with other because of a T6 paraplegia is a disability?

Yes

No

it is a handicap. This is the social consequence of the disease. So I am now at a disadvantage because of the impairment.

Explanation

it is a handicap. This is the social consequence of the disease. So I am now at a disadvantage because of the impairment.

37. The area where the greatest vertebral damage is noted radiographically is known as the:

Skeletal level

Neurological level

Motor level

Sensory level

38. What is the lowest sacral level?

S1-S2

S2-S3

S3-S4

S4-S5

39. Which of the following will you also assess when doing their functional assessment?

Mobility

Activities of daily living

Personal and psychological factors

Social factors

Vocational factors

Submit

40. What percentage of patients with spinal chord injuries die prior to the hospital?

75%

50%

37%

15%

5%

43. Which type of brace is frequently used to stabilize the spine after surgery?

Sternal occipital mandibularimmobilizer (SOMI)

Halo traction brace

Philadelphia collar

Rigid cervical orthosis

Jewel type three point orthosis

45. A complete injury will include no motor or senory function up to which level?

T12-L1

S1-S2

S4-S5

46. There are three phases of medical care. Which phase is associated with curative medicine and surgery?

Phase 1

Phase 2

Phase 3

47. Which therapy would make recommendations for upper extremity function and orthotics?

Physical therapy

Occupational therapy

Speech pathology

48. You do manual muscle testing on your patient and these are your findings:

C5 - 5/5
C6 - 3/5
C7 - 0/5

what is the motor level?

C5

C6

C7

49. Which of the following are components of the emergent care of spinal chord injuries?

Spine stabilization

Airway management

Cardiac management

Neurologic management

X-ray c-spine

Submit

50. Which therapy focuses on cognition?

Physical therapy

Occupational therapy

Speech pathology

51. Which therapy focuses on cognitive perceptual motor deficits?

Physical therapy

Occupational therpay

Speech pathology

52. Most spinal chord injuries occur:

In winter

In summer

On weekends

At night

On saturdays

Submit

54. What is the most important predictor of long term survival after spinal chord injury?

Bladder status

Level of injury and completeness

Age at injury

bladder status does not predict mortality and level of injury and completeness are not very predictive of survival either.

Explanation

bladder status does not predict mortality and level of injury and completeness are not very predictive of survival either.

55. "Any loss or abnormality of psychological physical or anatomical structure or function." WHO definition.

Disease

Impairment

Disability

Handicap

56. Which of the following are components of the rehabilitation/functional model?

Identify symptoms/behavior

Underlying pathology is either not treatable or is unknown

Must treat/improve behaviors

Function improves

Submit

57. Which therapy focuses on instruments of daily living such as meal planning and money management?

Physical therapy

Occupational therapy

Speech pathology

58. You will need to do a functional evaluation needs when planning for you patient's rehabilitation program. Which of the following are part of their activities of daily living that you will assess?

Medication

Communication

Eating

Grooming

Environmental barriers and toileting

You will also assess dressing, social support and bathing needs.

Explanation

You will also assess dressing, social support and bathing needs.

Submit

59. Which three are the most common types of fractures associated with spinal chord injuries?

C5-6

C7-T1