SCI

Question 1

Impairment or loss of sensory &/or motor function in the cervical segments of the spinal cord

Answer 1

Tetraplegia

Question 2

Impairment or loss of sensory &/or motor function in the thoracic, lumbar, or sacral segments of the spinal

Answer 2

Paraplegia

Question 3

How many pairs of spinal nerves are there?

Answer 3

31

Question 4

Vascular supply of Spinal cord

Answer 4

1 anterior spinal artery

2 posterior spinal artery

Question 5

What causes compression traction or transection of spinal cord

Answer 5

Trauma

Question 6

90% of traumatic injuries occur when the neck is

Answer 6

Flexed.

Question 7

Occurs immediately after Traumatic SCI

Answer 7

Spinal shock

Question 8

Causes of SCI?

Answer 8

Inflammation/infection
Disruption of blood supply
Other (neoplasm,spinal stenosis)

Question 9

AIS motor testing is

Answer 9

Myotomes

Question 10

AIS sensory testing is

Answer 10

Dermatomes

Question 11

AIS sensory testing used for

Answer 11

Determining complete vs. incomplete injury

Question 12

Rectal exam needed for

Answer 12

Determination of incomplete injury

Question 13

DAP

Answer 13

Deep anal pressure

Question 14

What determines conus integrity

Answer 14

Bulbocavernosus reflex

Question 15

ASIA A is

Answer 15

Complete (worst

Question 16

ASIA B

Answer 16

Incomplete.

Sensory but not motor presevered

Question 17

ASIA C

Answer 17

Incomplete

50% MMT <3

Question 18

ASIA D

Answer 18

Incomplete

MOTOR preserved

> 50% norm

Question 19

ASIA E

Answer 19

Normal

Question 20

AIS classification of complete

Answer 20

Loss of sensory and motor function.

Question 21

Most common incomplete injury

Answer 21

Central cord syndrome

Question 22

Lesion to half a spinal cord

Answer 22

Brown sequard syndrome

Question 23

Injury to ant 2/3 of sc

Answer 23

Anterior cord

Question 24

Injury to sacral cord

Answer 24

Conus medullaris

Question 25

Injury to lumbosacral nerve

Answer 25

Cauda equina

Question 26

Goals on mgmt of SCI

Answer 26

Align column | Remove pressure on SC

Question 27

ORIF most often done

Answer 27

Anteriorly

Question 28

When chest moves in instead of out during inhalation?

Answer 28

Paradoxical breathing

Question 29

Acute, life threatening, syndrome of uncontrolled, massive reflex sympathetic discharge

Answer 29

Autonomic dysreflexia

Question 30

Autonomic dysreflexia is

Answer 30

A MEDICAL EMERGENCY

Question 31

Abnormal bone formation in the soft tissue and around joints

Answer 31

Heterotopic ossification

Question 32

For every 20-30 of sitting, weight shift for

Answer 32

1 minute

Question 33

In bed, roll every

Answer 33

2 hours

Question 34

5 things that take place 2ndary to SCI?

Answer 34

``` Ischemia/hypoxia Biochemical cell death Demyelination Edema Scarring ```

Question 35

In terms of skin, SI pts have an increased risk of

Answer 35

Burns

Question 36

–A fall in blood pressure resulting from a change in position towards upright

Answer 36

Orthostatic hypotension

Question 37

How long does paralytic ileus last?

Answer 37

5-7 days post injury

Question 38

•“Pain that arises from actual or threatened damage to non-neural tissue and is caused by the activation of nociceptors

Answer 38

Nociceptive pain

Question 39

Pain arising as a direct consequence of a lesion or disease affecting the somatosensory system

Answer 39

Neuropathic pain

Question 40

When a cavity forms within spinal cord (cyst)

Answer 40

Syrinx formation

Question 41

FOR ROM patients will neeed _____ and ____ to enhance function

Answer 41

Great rom Mild tightness

Question 42

In absence if elbow extension, pt uses

Answer 42

Shoulder ER

Question 43

Full supination needed in order to

Answer 43

Lock elbows into ext. in weight bearing

Question 44

DO NOT over stretch ..

Answer 44

Long finger flexors