Central Nervous System: Case Study

30 Questions | Total Attempts: 785

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Central Nervous System: Case Study - Quiz

Welcome to the 21st Century electronic classroom for Advanced Human and Physiology class. You can find additional resources on my science web site Mitchell's Cosmic Adventure. Com. While case studies cannot provide specific guidance for the management of successive patients, they are a record of clinical interactions. You will need to locate the Google Document file on my website. Here will need to read the case study: Spinal Cord Injury, the patient is Thomas (Tommy) Potter. It is under the Nervous System TAB and then select Central Nervous System - Patient Medical History! This test has a T. E. M. (Test Exam Mode) setting that doesn't reveal the answer during the test period. A report and certificate will be printed for each attempt. E


Questions and Answers
  • 1. 
    What activity was Thomas (Tommy) Potter, a 20-year old college student performing to send him to emergency Trauma Center for treatment?
    • A. 

      Riding a bicycle

    • B. 

      Rock climbing

    • C. 

      Jogging on campus

    • D. 

      Playing tennis

    • E. 

      Painting the ceiling of his campus apartment

  • 2. 
    After you gathered initial information from this patient concerning his activities on campus.  Please check all to which apply to Mr. Potter.  
    • A. 

      Bowling

    • B. 

      Basketball

    • C. 

      Tennis

    • D. 

      Rock climbing

    • E. 

      Golf

    • F. 

      Skiing

  • 3. 
    Which one of the following explanations best describes the changes in Thomas's vital signs?
    • A. 

      Lying on his back during transport

    • B. 

      The level and extent of injury

    • C. 

      Anxiety related to the injury

    • D. 

      Lack of Mobility during transport

  • 4. 
    Tommy Potter is a 20-year old college student, who was rock climbing and fell _____ meters to the ground. Please round to one tenth of a decimal.
  • 5. 
    How tall is Tommy Potter in ______centimeters?  Please round to one tenth of a centimeter.
  • 6. 
    What was Thomas Potter's skin condition in the emergency room?  Please check all which applies to this patient.
    • A. 

      Sweaty

    • B. 

      Dry

    • C. 

      Warm

    • D. 

      Cold

    • E. 

      Good color

    • F. 

      Poor color

  • 7. 
    Paramedics applied a cervical collar at the scene of the accident, placed him on a backboard and immobilized his head. Mr. Potter asked a paramedic why he could feel just a little sensation in some parts of his arms and legs. The paramedic's response would be based on the understanding that:   (HINT: this is a multiple answer question.)
    • A. 

      A concussion is causing these transient signs

    • B. 

      The autonomic nervous center in the cerebellum was injured

    • C. 

      C5 and C6 injury would be consistent with these sensations

    • D. 

      Brain pathways are too complex to respond to his question

    • E. 

      Damage to this patent's cervical region is in question

  • 8. 
    Damage to the spinal cord will affect the function of the nervous from the point of injury upward.
    • A. 

      True

    • B. 

      False

  • 9. 
    Due to the nature of Tommys injuries, all of the following Central Nervous System functions will be affected except:
    • A. 

      Control of posture

    • B. 

      Conduction route to the brain

    • C. 

      Reflex activity for the spine

    • D. 

      Conduction route from the brain

  • 10. 
    Control of posture is a cerebellar activity, not a spinal cord function.
    • A. 

      True

    • B. 

      False

  • 11. 
    Dr. John Babinski was checking Tommy's vital signs and noticed a drop in his blood pressure. What is causing this condition at the time of the emergency?
    • A. 

      patient has suffered damage to his spinal cord

    • B. 

      Patient has no sensory detection in his arms

    • C. 

      Patient has no motor movement in his arms

    • D. 

      Patient has no sensory detection in his legs

    • E. 

      Patient has no motor movement in his legs

  • 12. 
    ___ ___ is a combination of areflexia/hyporeflexia and autonomic dysfunction that accompanies spinal cord injury.
  • 13. 
    What is spinal shock phase 1?
    • A. 

      0 - 1 day: areflexia/Hyporeflexia

    • B. 

      1 - 3 days: Initial reflex return

    • C. 

      1 - 4 weeks: Hyperreflexia (initial)

    • D. 

      1 - 12 weeks: Hyperreflexia, Spasticity

  • 14. 
    What is spinal shock phase 2?
    • A. 

      0 - 1 day: areflexia/Hyporeflexia

    • B. 

      1 - 3 days: Initial reflex return

    • C. 

      1 - 4 weeks: Hyperreflexia (initial)

    • D. 

      1 - 12 weeks: Hyperreflexia, Spasticity

  • 15. 
    What is spinal shock phase 3?
    • A. 

      0 - 1 day: areflexia/Hyporeflexia

    • B. 

      1 - 3 days: Initial reflex return

    • C. 

      1 - 4 weeks: Hyperreflexia (initial)

    • D. 

      1 - 12 weeks: Hyperreflexia, Spasticity

  • 16. 
    What is spinal shock phase 4?
    • A. 

      0 - 1 day: areflexia/Hyporeflexia

    • B. 

      1 - 3 days: Initial reflex return

    • C. 

      1 - 4 weeks: Hyperreflexia (initial)

    • D. 

      1 - 12 weeks: Hyperreflexia, Spasticity

  • 17. 
    What phrases of spinal shock shows strong reflexes usually produced with minimal stimulation. Motor neurons begin sprouting and attempting to re-establish synapses?
    • A. 

      Phase 1 - 0 - 1 day: areflexia/Hyporeflexia

    • B. 

      Phase 2 - 1 - 3 days: Initial reflex return

    • C. 

      Phase 3 - 1 - 4 weeks: Hyperreflexia (initial)

    • D. 

      Phase 4 - 1 - 12 weeks: Hyperreflexia, Spasticity

  • 18. 
    What does S.C.I. stand for as it relates to spinal shock?
    • A. 

      Standard Control Instructions

    • B. 

      Spinal Cord Injury

    • C. 

      Spinal Cord Instructions

    • D. 

      Spinal Control Instructions

    • E. 

      Spinal Cord Innervation

  • 19. 
    What is the cause of Thomas Potter's respiratory rate at 24 (very shallow breathing)?
    • A. 

      Injury to C3

    • B. 

      Injury to C4

    • C. 

      Injury to C5

    • D. 

      Injury to T1

    • E. 

      Injury to C4 and C5

  • 20. 
    Which cervical vertebrae was damaged in the patient's rock climbing injury? Taking all of the physical examination findings suggest that there was incomplete, diffuse, bilateral damage to the spinal cord at about the ___ segment.
    • A. 

      Injury to C3

    • B. 

      Injury to C4

    • C. 

      Injury to C5

    • D. 

      Injury to T1

    • E. 

      Injury to C4 and C5

  • 21. 
    Due to damage of the C5 vertebrae and the respiration rate of this patient. What condition is causing his Blood pH to 7.25?
    • A. 

      Thomas is hypoventilating resulting in respiratory acidosis.

    • B. 

      Thomas is hyperventilating resulting in respiratory acidosis.

    • C. 

      Thomas is hyporeflexia resulting in respiratory acidosis.

    • D. 

      Thomas is not breathing on his own resulting in respiratory acidosis.

  • 22. 
    At what blood pH would Thomas have died?
    • A. 

      7.40

    • B. 

      6.70

    • C. 

      7.60

    • D. 

      7.50

    • E. 

      7.30

  • 23. 
    The micturition reflex may return as Mr Potter's spinal shock resolves, since this reflex arc involves non-damaged segments of the spinal cord (S2 to S4).
    • A. 

      True

    • B. 

      False

  • 24. 
    What is the halo traction brace called?
    • A. 

      Halo Orthosis

    • B. 

      Cervical Halo Brace

    • C. 

      Thoracic Halo Brace

    • D. 

      Lumbar Halo Orthosis

    • E. 

      Cervical Orthosis

  • 25. 
    Tommy Potter will wear his halo orthosis due to severe damage to the C5 vertebrae for ___ weeks. (Hint: please enter a number from 5 to 24.)
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