Spinal Cord Injury

48 Questions | Total Attempts: 3308

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Spinal Cord Injury

The spinal cord is one of the most important parts of the human body that is regularly used on a daily basis. The cord basically controls and handles the whole body together. This quiz will help you find out how much you know about spinal cord injury.


Questions and Answers
  • 1. 
    • A. 

      C5 is the most common level of tetraplegia

    • B. 

      T12 is the most common level of paraplegia

    • C. 

      Incomplete Paraplegia is the most common injury

    • D. 

      Most common cause of SCI is MVA

    • E. 

      Most common age at injury is 19 years old

  • 2. 
    Complete paralysis of all 4 extremities and trunk is known as:
    • A. 

      Tetraplegia

    • B. 

      Paraplegia

  • 3. 
    Which of the following is true regarding ZPP?
    • A. 

      Can only occur in incomplete injuries.

    • B. 

      Can only occur in complete injuries and can include motor or sensory to lowest sacral segments.

    • C. 

      Can only occur in complete injuries, S4-5 absent motor and sensory.

  • 4. 
    Regarding UMN and LMN signs, which of the following is true?
    • A. 

      UMN signs at and below level of lesion

    • B. 

      LMN at level, UMN below

    • C. 

      UMN at level, LMN below

    • D. 

      LMN signs at and below level of lesion

  • 5. 
    What is the most common clinical cord syndrome in incomplete injuries?
    • A. 

      Anterior Cord

    • B. 

      Central Cord

    • C. 

      Posterior Cord

    • D. 

      Cauda Equina

    • E. 

      Brown Sequard

  • 6. 
    Which of the following is not true regarding anterior cord syndrome?
    • A. 

      Loss of motor below level

    • B. 

      Loss of proprioception/vibration

    • C. 

      Loss of pain and temp

    • D. 

      Flexion injury

  • 7. 
    Which statement accurately describes a Brown Sequard syndrome?
    • A. 

      Asymmetric injury with ipsilateral loss of motor function and sensation and contralateral loss of pain and temperature.

    • B. 

      Symmetrical injury with loss of motor function bilaterally.

    • C. 

      Asymmetric injury with ipsilateral loss of pain and temperature and contralateral loss of motor funtion and sensation.

    • D. 

      Loss of awareness, but preserved motor, pain, temperature, and light tought.

  • 8. 
    Which pathway carries discriminative touch, pressure, vibration, and proprioception?
    • A. 

      DCML

    • B. 

      ALS

    • C. 

      Corticospinal

  • 9. 
    Which spinal pathway carries pain and temperature?
    • A. 

      ALS

    • B. 

      DCML

    • C. 

      Corticospinal

  • 10. 
    Which of the following is true regarding autonomic dysreflexia?
    • A. 

      Occurs in Lesions T5(6) and below

    • B. 

      Acute onset of autonomic activity from noxious stimuli above lesion level

    • C. 

      Can occur in complete and incomplete injuries

  • 11. 
    Which of the following is NOT a sign/symptom of AD?
    • A. 

      Severe, pounding headache

    • B. 

      Hypertension

    • C. 

      Dilated pupils

    • D. 

      Bradycardia

    • E. 

      Profuse sweating/flushing above lesion level

  • 12. 
    Which all of these are possible, which is the most common cause of AD:
    • A. 

      Bladder distention

    • B. 

      Bowel distention

    • C. 

      UTI

    • D. 

      Noxious cutaneous stimuli (i.e. ingrown toenail)

  • 13. 
    If you are seeing a patient who is beginning to present with S&S of AD,what should you do?
    • A. 

      Lie patient supine, search for a cause, and notify MD.

    • B. 

      Position patient upright, searh for a cause and correct if possible, notify MD

    • C. 

      Do nothing but notify MD and let them deal with it

  • 14. 
    How do you know a patient is out of spinal shock?
    • A. 

      Return of DTRs is first sign

    • B. 

      Return of bulbocavernosus reflex

    • C. 

      Return of motor function below lesion level

  • 15. 
    Which is true of bulbocavernosus reflex?
    • A. 

      Mediated by S1-3

    • B. 

      Is only present during spinal shock

    • C. 

      Would never be checked by physical therapist

    • D. 

      Elicited by pressure on anal sphincter

    • E. 

      Is negative if contraction of anal sphincter occurs

  • 16. 
    Which of the following is NOT required by ASIA standards?
    • A. 

      Sharp/dull

    • B. 

      Light touch

    • C. 

      Deep anal sensation (S4-5)

    • D. 

      Proprioception

  • 17. 
    Which is true regarding ASIA testing and position?
    • A. 

      Seated

    • B. 

      Standing

    • C. 

      Supine

  • 18. 
    You are completing the sensory exam on the ASIA. Pt. can tell between sharp and dull in the C5 dermatome, but says it feels difference than the reference point. What would you score them? What is the reference point?
    • A. 

      0; forehead

    • B. 

      1; forehead

    • C. 

      2; cheek

    • D. 

      1; cheek

  • 19. 
    Mr. Johnson is a C6 complete tetraplegia and you are instructing him on positioning. What would be important to emphasize during his rehabilitation process?
    • A. 

      Using UE as a hook.

    • B. 

      Keeping long finger flexors tight for tenodesis.

    • C. 

      Head hips relationship.

    • D. 

      All of the above.

  • 20. 
    What is the appropriate position for locking the UE in the absence of triceps?
    • A. 

      Shoulder flexion, IR, and wrist extension.

    • B. 

      Shoulder extension, full ER, wrist extension, finger flexion.

    • C. 

      Shoulder abduction, full ER, wrist and finger flexion

  • 21. 
    In order to be considered the motor level of that patient, which statement is NOT true?
    • A. 

      Must be 3 or above

    • B. 

      Rostral segment must be normal (5)

    • C. 

      There may be a different motor level on each side of the body

    • D. 

      Must be 3 or below

  • 22. 
    What is the neuro level?
    • A. 

      The most caudal segment of the spinal cord where either sensory or motor is present.

    • B. 

      The most caudal segment of the spinal cord with normal motor and sensory bilaterally.

    • C. 

      The most caudal segment of the spinal cord where motor function is normal bilaterally.

  • 23. 
    Josh is a neuro level C6, but has deep anal sensation. However, Josh has motor below C6 and more than half of the muscles grade 3 or below. What is Josh on ASIA impairment scale?
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 24. 
    Clara has an incomplete spinal cord injury. She has sensory, but no motor, below the level of impairment. What is Clara?
    • A. 

      ASIA A

    • B. 

      ASIA B

    • C. 

      ASIA C

    • D. 

      ASIA D

    • E. 

      ASIA E

  • 25. 
    When instructing a patient on the management of pressure sores, which is NOT true?
    • A. 

      Must immediately establish OOB and turning schedule

    • B. 

      Weight shifts every 2 hours

    • C. 

      Turning in bed every 2 hours

    • D. 

      Use pressure reducing cushions

    • E. 

      Get patient in prone and multiple positions

  • 26. 
    You are testing the key muscle for L2 on Pete. Pete can move through full ROM against gravity and can hold against minimal resistance. What grade would you give Pete?
    • A. 

      0

    • B. 

      1

    • C. 

      5

    • D. 

      3

    • E. 

      4

  • 27. 
    What is the key muscle group for L2?
    • A. 

      Hip flexors

    • B. 

      Knee extensors

    • C. 

      Ankle DFs

    • D. 

      Ankle Pfs

  • 28. 
    You now test Pete at L4. Pete can move through full range in the gravity eliminated position, but can not hold against resistance. Grade him.
    • A. 

      0

    • B. 

      1

    • C. 

      2

    • D. 

      3

    • E. 

      4

  • 29. 
    Which of the following may trigger spasticity?
    • A. 

      Environment

    • B. 

      Stress

    • C. 

      UTI

    • D. 

      Impaction

    • E. 

      All of the above

  • 30. 
    What is NOT true regarding ROM in a patient with SCI?
    • A. 

      Low back tightness is desirable

    • B. 

      Need 100-110* of hamstring length

    • C. 

      Stretching long finger flexors is important

    • D. 

      Shoulders must be hypermobile, but monitored for overuse injuries

  • 31. 
    When is a DVT most likely to occur in SCI and why?
    • A. 

      First 4 months, loss of vasoconstriction control

    • B. 

      First 2 months, loss of vasoconstriction

    • C. 

      First month due to postural hypotension

  • 32. 
    Jerry is a C7 complete and complains of pain to his middle finger. Which type  of pain is most likely?
    • A. 

      Nerve root pain

    • B. 

      Spinal cord dysesthesia

    • C. 

      Musculoskeletal pain

  • 33. 
    Faith has pain that occurs below her lesion level. She describes this as "pins and needles" that comes and goes during the day. Which type of pain does this describe?
    • A. 

      Nerve root pain

    • B. 

      Spinal cords dysesthesia

    • C. 

      Musculoskeletal pain

  • 34. 
    Which of the following is the appropriate w/c stroke?
    • A. 

      Arc

    • B. 

      Double-arc

    • C. 

      Semicircular

    • D. 

      Loop

  • 35. 
    The conus medullaris is located at _____. Lesions above this often result in a (spastic/flaccid) bladder.
    • A. 

      S1-3; spastic

    • B. 

      S1-3; flaccid

    • C. 

      S2-4; spastic

    • D. 

      S2-4; flaccid

  • 36. 
    During spinal shock the bladder is ____. If the patient had this type of bladder, how would they be instructed on emptying?
    • A. 

      Flaccid, Valsalva or Crede manuever

    • B. 

      Flaccid, manual stimulation

    • C. 

      Spastic, Valsalva or Crede manuever

    • D. 

      Flaccid, manual stimulation

  • 37. 
    Which type of erection is most likely to occur in a male with SCI?
    • A. 

      Reflexogenic

    • B. 

      Psychogenic

  • 38. 
    What is the functionally revelant muscle at C4?
    • A. 

      Neck muscles

    • B. 

      Diaphragm

    • C. 

      Biceps

    • D. 

      Triceps

  • 39. 
    At what level would we begin to expect independent transfers and independent self-care?
    • A. 

      C5

    • B. 

      C6

    • C. 

      C7-8

    • D. 

      T1-9

  • 40. 
    At what level do we have fully intact intercostals?
    • A. 

      T1-5

    • B. 

      T10-L1

    • C. 

      L2

    • D. 

      T4-9

  • 41. 
    What's the important of teaching a wheelie?
    • A. 

      Pressure relief

    • B. 

      Uneven terrains

    • C. 

      Ramps

    • D. 

      Turns

    • E. 

      All of these

  • 42. 
    What should be emphasize during transfers?
    • A. 

      Head should go opposite hips

    • B. 

      Hips and head should move together

    • C. 

      One big movement as opposed to small movements

  • 43. 
    What is an important position for dressing?
    • A. 

      Short sitting

    • B. 

      Long sitting

    • C. 

      Ring sitting

  • 44. 
    This following information relates to Alice:MMT is 5 all the way to bilateral hand intrinsics. Hip flexors are a 3. Sensory is intact to medial malleolus and medial aspect of lower leg and absent below. Anal sphincter is intact. T10 intact. What is her sensory level?
  • 45. 
    MMT is 5 all the way to bilateral hand instrinsics. Hip flexors are a 3. Sensory intact to medial malleols and medial aspect of lower leg; absent below. T10 and deep anal sensation intact. What is her sensory level?
  • 46. 
    MMT 5 to hand instrinsics; hip flexors are 3. What is her motor level?
  • 47. 
    If you were to have an L3 motor level and L2 sensory level, what would the neuro level be?
    • A. 

      L2

    • B. 

      L3

    • C. 

      L1

    • D. 

      L4

  • 48. 
    Use an ASIA to fill out following information and give following answers.MMT C5 (3R, 5L), C6 (2R, 4L), C7 (0R, 2L), C8 (0R, 1L), TI (OR, OL); sensory intact to middle finger, bilaterally, absent below. No Anal Sphincter sensation: 1) sensory level 2) motor level R and L 3) neuro level 4) any ZPPs? 5) ASIA impairment scale