Neurologic Impairments

Question 1

Decerebrate rigidity

Answer 1

UE/LE in spastic extension, adduction, and IR

Question 2

Decorticate rigidity

Answer 2

UE in spastic flexion, LE in spastic extended position

Question 3

Score below 8 on Glasgow Coma Scale

Answer 3

severe brain injury

Question 4

Score between 9-12 on Glasgow Coma Scale

Answer 4

moderate brain injury

Question 5

Score above 14 on Glasgow Coma Scale

Answer 5

mild brain injury

Question 6

3 areas assessed by Glasgow Coma Scale

Answer 6

motor, verbal, and eye opening responses

Question 7

Ranchos Los Amigos: Level 1

Answer 7

No response

Question 8

Ranchos Los Amigos: Level 2

Answer 8

Generalized response (inconsistent and non purposeful)

Question 9

Ranchos Los Amigos: Level 3

Answer 9

Localized response (responds specifically to stimuli inconsistently)

Question 10

Ranchos Los Amigos: Level 4

Answer 10

Confused/agitated

Question 11

Ranchos Los Amigos: Level 5

Answer 11

Confused/inappropriate

Question 12

Ranchos Los Amigos: Level 6

Answer 12

Confused/appropriate

Question 13

Ranchos Los Amigos: Level 7

Answer 13

Automatic/appropriate

Question 14

Antispasticity splint positioning

Answer 14

hand and wrist in a functional position with finger abduction

Question 15

Techniques for treating apraxia

Answer 15

hand over hand guidance OR compensation by following steps written or pictures on a card

Question 16

Bed mobility training progression

Answer 16

Scooting up and down in bed, rolling, bridging, and then to/from supine and SSP or standing

Question 17

In what level of SCI can a patient breathe with the diaphragm and does not need the use of a ventilator?

Answer 17

C5

Question 18

What level SCI can a patient perform elbow flexion?

Answer 18

C5

Question 19

What level SCI can tenodesis grasp be utilized?

Answer 19

C6

Question 20

What level SCI are triceps innervated (e.g., can perform elbow extension)?

Answer 20

C7

Question 21

What level SCI involves partial finger movement?

Answer 21

C8

Question 22

Starting at what level SCI can a patient have full UE ROM and strength?

Answer 22

Starting at T1

Question 23

What level SCI can a patient be independent with transfers?

Answer 23

C7 (triceps innervated; depression transfers)

Question 24

At what level SCI can a patient drive with hand controls?

Answer 24

C6

Question 25

ASIA A indicates ...

Answer 25

complete motor and sensory loss below level of lesion

Question 26

ASIA B indicates...

Answer 26

incomplete; motor loss with preservation of sensation

Question 27

ASIA C indicates...

Answer 27

incomplete; motor and sensation preserved

Question 28

Orthostatic hypotension

Answer 28

LOW BP, lightheaded/dizziness, position patient in a supine and elevate feet above the heart

Question 29

Autonomic dysreflexia

Answer 29

HIGH BP, medical emergency, may be caused by noxious stimuli (check catheter, remove tight clothing), keep patient upright

Question 30

When should weight shifting occur?

Answer 30

Every 30-60 mins

Question 31

Mobile arm supports are useful to support the weight of arm during functional tasks at what level of SCI?

Answer 31

C5

Question 32

Tenodesis splint is used for what level of injury?

Answer 32

C6

Question 33

Broca's aphasia

Answer 33

Expressive aphasia (difficulty finding words)

Question 34

Wernicke's aphasia

Answer 34

Receptive aphasia (impaired auditory reception)

Question 35

Motor apraxia

Answer 35

difficulty completing planned movements

Question 36

Visual agnosia

Answer 36

difficulty recognizing objects/faces

Question 37

At what SCI level can a person perform skin checks independently with adaptive equipment (e.g,., long-handled mirror)?

Answer 37

C6

Question 38

At what level SCI is a universal cuff critical for increased independence in feeding, UBD, and grooming?

Answer 38

C5

Question 39

Multiple sclerosis

Answer 39

demyelinating disease that causes impaired nerve conduction and inflammation

Question 40

Motor symptoms of MS

Answer 40

ataxia, paralysis, weakness, fatigue, intention tremors, dysphagia

Question 41

Sensory symptoms of MS

Answer 41

paresthesia (numbness and tingling), vertigo, pain

Question 42

Visual symptoms of MS

Answer 42

Diplopia (double vision) or optic neuritis (sudden loss of vision)

Question 43

Communication symptoms of MS

Answer 43

dysarthria, scanning speech

Question 44

Bladder and bowel symptoms of MS

Answer 44

incontinence, urinary retention, or increased urgency

Question 45

Cognitive symptoms of MS

Answer 45

ST memory less, attention deficits, decreased processing, impaired executive functioning