speak poor you do
Oops...I bumped my head
SCI
Hiho Hiho...its off to work I go
Drugs...mmmm
100
A lesion in the posterior limb of the internal capsule would present with these signs.
What is hemiparesis and dysarthria. Language and sensation are not affected.
100
These risk factors, prolonged coma (>1 month), increased muscle tone, limited movement in the involved lower extremity, and associated fractures, are associated with this physiological process after a TBI.
What is heterotopic ossification.
100
For persons with SCI who survive the first 24 hours, this is the leading cause of death the first year post-injury.
What is Pneumonia
100
The differences between Impairment, Disability, and Handicap according to the WHO.
What is: Impairment = alteration in a person’s health status; a deviation from normal body part or organ system that limits physical function Disability = all the effects of the injury or illness, impairments, activity limitations, and barriers to participation. Handicap = The barriers that society places on the individual interacting in his/her community.
100
This medication enhances intestinal motility and thereby decreases time available for water & electrolyte resorption. It generates increased propulsive activity by altering electrolyte transport and increasing intraluminal fluid. It also exerts a direct stimulant effect on the myenteric plexus which increases intestinal motility.
What is Sennakot. Senna works best in persons with UMN level injuries, and it facilitates bowel movements in 6-12 hours.
200
What is the scoring system for the Glascow Coma Scale.
Best eye response (E): 1-4 Best verbal response (V): 1-5 Best motor response (M): 1-6 Total : 3-15
200
The treatment of autonomic dysreflexia (tip: 5 things to do)
What is: a) anti-hypertensives b) remove triggering stimuli c) sit the patient up and dangling legs over the bedside d) Tight clothing and stockings should be removed e) Catheterization of the bladder or manual dis-impaction
200
This is the exam for a new SCI patient. R L biceps 5/5 5/5 wrist extensors 2/5 2/5 triceps 3/5 2/5 finger flexors 2/5 2/5 intrinsics 2/5 2/5 hip flexors 4/5 4/5 knee extensors 4/5 4/5 dorsiflexors 4/5 4/5 extensor hallicus 4/5 4/5 plantarflexors 4/5 4/5 Rectal exam reveals volitional sphincter control.
What is C5 ASIA D. The highest intact level would be C5 (normal muscle strength or >3/5 with the next level being normal). ASIA C is motor incomplete with greater than half of the muscle groups below the level of injury with muscle grade less than 3/5. ASIA D is also motor incomplete, with at least half of the muscle groups greater than 3/5. In this case, 11/18 muscle groups are 3/5 or greater, making this person an ASIA D. The highest intact level is C5.
200
This tests a person’s ability to perform work-related tasks on a safe and dependable basis.
What is a functional capacity evaluation (aka the "Can I return to work" evaluation)
200
This is the medication of choice in a patient with a traumatic brain injury who has impaired speed of processing, inattention and decreased arousal.
What is Methylphenidate (Ritalin)
300
A strong positive predictor of motor recovery after a CVA.
What is atleast some motor recovery of the hand by 4 wks.
300
Aspiration/pneumonia, UTI, Reflex sympathetic dystrophy (RSD), depression, falls, venous thromboembolism, and musculoskeletal complications.
What are the most common medical complications during postacute stroke rehabilitation?
300
This SCI patient's level of functionality allows him to be independent with feeding, bed mobility, & bladder care. However, the patient requires some assistance for mobility over curbs with a wheelchair.
What is C7.
300
Litigation, Low pay, Low challenge, Decreased control, Monotony, & Low task enjoyment
What are return to work barriers
300
The mechanism of action of this med acts at the Adrenergic Receptors spinally and supraspinally and can be used to treat Dystonia, Torticollis, Blepharospasm, & Strabismus.
What is Tizanidine (Zanaflex)
400
The definition of Complex Regional Pain Syndrome (CRPS) Type I/?Reflex Sympathetic Dystrophy (RSD)
What is a disorder of sympathetic-maintained pain & related abnormalities, abnormal blood flow, abnormalities in motor system, and trophic changes. (Type II CRPS = pain limited to peripheral nerve distribution)
400
Duration of posttraumatic amnesia (PTA).
What is the most valuable factor correlated with outcomes after a CVA. The likelihood of a good recovery is poor if the PTA > 3 months. On average only 7%--8% will make a good recovery if the coma lasts >4 weeks, and severe disability is unlikely if the coma lasts <2 weeks.
400
The highest complete SCI level that can live independently without the aid of an attendant.
What is C6 complete tetraplegia. FYI---C7 is the USUAL level for achieving independence
400
These are the waddell signs.
What are: Simulation Distraction Overreaction Regional Disturbances
400
How fast you can increase an intrathecal baclofen pump rate with the concentration unchanged.
What is 10% per 24 hours.
500
Brunnstrom and Sawner's algorithm of Stroke-induced recovery of Hemiplegia
What is: 1) Flaccidity, no voluntary mvmt on affected side 2) Spasticity, basic synergy, minimal voluntary mvmt 3) Voluntary control over synergies, increase in spasticity 4) Decrease in Spasticity, begin to master some synergy patterns 5) Master synergistic mvmts, decrease spasticity 6) Spasticity disappears, increase in coordination 7) Nml function restored
500
Risk factors for late post-traumatic seizures? (There are 6 and I need atleast 3 of them).
1) Bilateral parietal contusion (66%) 2) Penetration of the dura (62.5%) 3) Multiple intracranial operations (36.5%) 4) Multiple subcortical contusions (33.4%) 5) Subdural hematoma with evacuation (27.8%) 6) Midline shift greater than 5mm (25.8%).
500
You would expect to see these symptoms in a LMN bladder instead of an UMN bladder.
What is: LMN Bladder results in failure to empty, a big hypotonic bladder, and a tight sphincter. Tx with I.C. regimen. Found with Spinal Shock, Conus Medullaris Sx, Cauda Equina Sx Tabes Dorsalis, Pernicious Anemia, Syringomyelia, & MS. UMN bladder is failure to store. This results in a small, hyperreflexic, overactive, little bladder. Tx with ditropan, detrol, etc... Found in CVA, MS, & SCI (after initial trauma).
500
The 3 fundamental principles of medical professionalism.
What are: (1) patient welfare (2) patient autonomy (3) social justice
500
This class of medication ↑GABA binding and potentiates presynaptic inhibition.
What are Benzodiazepines. (FYI: Baclofen's site of action are GABA receptors in S. Cord, but don't increase GABA binding)
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