Principles Of Rehabilitation Medicine (Msq Drill 152)

1. To test for the bulbocavernosus reflex you tug on the penis or clitoris and an anal spincter contraction should occur. True or false?

True

False

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

MVA

Falls

Guns and knives

Diving

3. We will now use spinal chord injury to understand the rehabilitation process:

Most cases of spinal chord injury in the US are:

Males

Females

4. So, in other words phase 3 is the rehabilitation stage. True or false?

True

False

5. 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

6. 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

7. 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

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

Physician and physical therapist only

Very multi disciplinary

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. Does the halo tractin brace allow the least amount of movement after a cervical fracture?

Yes

No

12. In canada 36% of their spinal chord injuries are industrially related., True or false?

True

False

13. Basically almost all spinal chord injuries occur due to ACCIDENTS. True or false?

True

False

14. Anothre 8 to 17% with spinal chord injuries die within the hospital. True or false?

True

False

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

Physical

Occupational

Speech

16. Which one has a social aspect to it between disability and handicap?

Disability

Handicap

17. 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

18. Rehabilitation tries to limite the adverse consequences (impairments, disabilities, and handicaps) of a particular disease. True or false?

True

False

19. Our goal in rehabilitation is to maximise function withinthe confines of the exisiting disease. True or false?

True

False

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

Pain management

Rehabilitation

Preventive care

21. Each halo traction brace is individually made for each patient. True or false?

True

False

22. Are the majority of spinal chord injuries young males or older males?

Young males

Older males

23. 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

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

Dexamethasone

Prednisone PO

Methylprednisolone IV

Indomethacin IV

25. Becuase of the impairment you cannot walk. This is now a disablity or a handicap?

Disability

Handicap

26. Which therapy focuses on swallowing?

Physical

Occupational

Speech

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. Do complete or incomplete lesions do better in terms of life expectancy?

Complete

Incomplete

30. The sensory level is also the most caudad segement with nromal sensation to LT and PP above/proximal to it. True or false?

True

False

31. 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

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

Medical

Psychological

Social

Economic

Submit

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

MVA

Falls

Guns and knives

Diving

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

Impairment

Disability

Disease

Handicap

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.

36. In order for rehabilitation to be indicated, intensive thereapy WILL improve the patient's ability to funciton. True or false?

True

False

37. What is the lowest sacral level?

S1-S2

S2-S3

S3-S4

S4-S5

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

Skeletal level

Neurological level

Motor level

Sensory level

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

75%

50%

37%

15%

5%

40. If you have a functional S4-S5 then you cannot be classified as having a complete injury. True or false?

True

False

41. 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

42. ***** So, the motor level is the most ________ muscle group with a 3+ strength and 5/5 in the segment above.

Cephalad

Caudad

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

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

T12-L1

S1-S2

S4-S5

45. The halo traction brace penetrates the skin, does it also penetrate the bone?

Yes

No

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

Physical therapy

Occupational therapy

Speech pathology

47. 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

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

Phase 1

Phase 2

Phase 3

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. In terms of average life expectancy after a spinal chord injury, do men or women do better?

Men

Women

52. Most spinal chord injuries occur:

In winter

In summer

On weekends

At night

On saturdays

Submit

53. 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.

54. Which therapy focuses on cognitive perceptual motor deficits?

Physical therapy

Occupational therpay

Speech pathology

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

Physical therapy

Occupational therapy

Speech pathology

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

Disease

Impairment

Disability

Handicap

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

C6-7

T12-L1

L4-5

Submit

60. Why do you give methylprednisolone STAT immediate after a spinal chord injury?

Methylprednisolone decreases the fever

Methylprednisolone decreases free radical production

Methylprednisolone prevents long tern effects

Methylprednisolone is anti inflamatory

Submit

61. How do you test for S4-S5?

Bulbocavernosus

Anal wink

Submit

Principles Of Rehabilitation Medicine (Msq Drill 152)

1. To test for the bulbocavernosus reflex you tug on the penis or clitoris and an anal spincter contraction should occur. True or false?

2.

What first name or nickname would you like us to use?

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

3. We will now use spinal chord injury to understand the rehabilitation process:Most cases of spinal chord injury in the US are:

4. So, in other words phase 3 is the rehabilitation stage. True or false?

5. 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?

6. 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?

7. 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?

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

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?

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

11. Does the halo tractin brace allow the least amount of movement after a cervical fracture?

12. In canada 36% of their spinal chord injuries are industrially related., True or false?

13. Basically almost all spinal chord injuries occur due to ACCIDENTS. True or false?

14. Anothre 8 to 17% with spinal chord injuries die within the hospital. True or false?

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

16. Which one has a social aspect to it between disability and handicap?

17. 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?

18. Rehabilitation tries to limite the adverse consequences (impairments, disabilities, and handicaps) of a particular disease. True or false?

19. Our goal in rehabilitation is to maximise function withinthe confines of the exisiting disease. True or false?

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

21. Each halo traction brace is individually made for each patient. True or false?

22. Are the majority of spinal chord injuries young males or older males?

23. 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?

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

25. Becuase of the impairment you cannot walk. This is now a disablity or a handicap?

26. Which therapy focuses on swallowing?

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?

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

29. Do complete or incomplete lesions do better in terms of life expectancy?

30. The sensory level is also the most caudad segement with nromal sensation to LT and PP above/proximal to it. True or false?

31. What is the neurological level?

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

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

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

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

36. In order for rehabilitation to be indicated, intensive thereapy WILL improve the patient's ability to funciton. True or false?

37. What is the lowest sacral level?

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

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

40. If you have a functional S4-S5 then you cannot be classified as having a complete injury. True or false?

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

42. ***** So, the motor level is the most ________ muscle group with a 3+ strength and 5/5 in the segment above.

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

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

45. The halo traction brace penetrates the skin, does it also penetrate the bone?

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

47. You do manual muscle testing on your patient and these are your findings:C5 - 5/5C6 - 3/5C7 - 0/5what is the motor level?

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

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

50. Which therapy focuses on cognition?

51. In terms of average life expectancy after a spinal chord injury, do men or women do better?

52. Most spinal chord injuries occur:

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

54. Which therapy focuses on cognitive perceptual motor deficits?

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

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

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

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?

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

60. Why do you give methylprednisolone STAT immediate after a spinal chord injury?

61. How do you test for S4-S5?

3. We will now use spinal chord injury to understand the rehabilitation process:

Most cases of spinal chord injury in the US are:

47. 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?