Trauma

Question 1

State with a disturbance of attentional mechanisms, where patient is unable to form new memories. May demonstrate either hypoarousal or hyperarousal

Answer 1

Confusional State

Question 2

State where confusion is clearing and some memory is possible and there is limited insight

Answer 2

Emerging Independence

Question 3

Lesion level of SCI indicates what in terms of movement?

Answer 3

Most distal uninvolved nerve root with normal function

Muscles must have >3+/5

Question 4

Asia scale for complete injuries

Answer 4

A

Question 5

Asia scale for Incomplete: Sensory but not motor function is preserved below the neurological level including sacral segments

Answer 5

Asia B

Question 6

ASIA scale for Incomplete: Motor function preserved below level and most key muscles below have muscle grade less than 3

Answer 6

ASIA C

Question 7

ASIA Scale for Incomplete: motor function preserved below the level and muscles have >3/5

Answer 7

ASIA D

Question 8

Central Cord Lesion is most likely caused by what?

Answer 8

Hyperextension Injuries

Question 9

What do you lose with a central cord synrome?

Answer 9

Bilateral loss of spinothalamic tracts (Pain and temperature)
Bilatearl Loss of Ventral Horn (motor function)

Question 10

What is primary motor loss with central cord syndrome?

Answer 10

Primarily UE

Question 11

What 2 sensations are preserved with central cord lesions?

Answer 11

Proprioception and Discrimination

Question 12

What is lost with Brown-Sequard Syndrome

Answer 12

Ipsilateral Loss of Dorsal Columns (Tactle discrimination, pressure, vibration, proprioception)
Ipsilateral Loss of Cortiospinal Tracts (Motor function)
Contralateral loss of spinothalamic tract (pain and temperature)

Question 13

Where is there bilateral loss in Brown-Sequard?

Answer 13

At lesion level, bilateral loss of pain and temperature

Question 14

What causes an anterior cord injury?

Answer 14

Flexion Injury

Question 15

What is lost with Anterior Cord Syndrome

Answer 15

Bilateral loss of lateral corticospinal tracts (Motor function)
Bilateral loss of spinothalamic tracts (pain and temperature)

Question 16

What is preserved with anterior cord syndrome?

Answer 16

Dorsal columns - proprioception and kinesthesia

Question 17

What is preserved in posterior cord syndrome?

Answer 17

Motor, pain and light touch

Question 18

What level injury causes respiratory insufficiency?

Answer 18

C4

Question 19

Sx of Autonomic Dysreflexia (7)

Answer 19

1. Paroxysdomal HTN
2. Bradycardia
3. Headache
4. Diaphoresis
5. Flushing
6. Diploplia
7. Convulsions

Question 20

Patient with a C1-C4 Lesions require what kind of w/c?

Answer 20

Electric w/c with tilt-inspace

Question 21

C1-C4 lsion w/c has what to control the w/c?

Answer 21

Microswitch or puff-and-sip control

Question 22

Patients with C5 injury use what kind of w/c?

Answer 22

Manual w/c for short distances - often choose electric for energy conservations

Question 23

Patients with C5 Injuries have what function?

Answer 23

Shoulders and Elbow flexion

Question 24

Pts with C6 Lesion still have what?

Answer 24

Radial wrist extensors

Question 25

What kind of w/c for C6 injury?

Answer 25

Manual w/c with friction surface hand rims

Question 26

Patients with c& injury have what level of function?

Answer 26

Tricep control

Question 27

Locomotion expectations for pts with midthoracic lesions (T6-T9)

Answer 27

S Ambulation for short distances

Bilateral KAFO and crutches

Question 28

Gait pattern for T6-T9 lesions?

Answer 28

Swing to gait pattern

Question 29

Locomotion expectation for pts with High Lumbar Lesions (T12-L3)

Answer 29

Independent in all ambulation, W/C for community ambulation

4 point gait pattern with crutches and Bilateral KAFOS

Question 30

Equipment for Low lumbar lesions

Answer 30

Bilateral AFO and crutches/cane