Vestibular
These are the 3 main components of the peripheral vestibular system.
What are semicircular canals, otolithic organs, and cranial nerve 8 (vestibulocochlear)
The two causes of stroke?
What is...
- Ischemia 2* blockage/clot
- Hemorrhage
The level at which the spinal cord ends?
What is L1-L2; finale terminal
If head position is not monitored, jugular vein compression could lead to what?
increased ICP
The hallmark symptom of Huntington's Disease?
chorea
These are the two otolith organs of the inner ear.
Utricle and Saccule
You are testing a patient’s sensation after they had an ACA stroke, what findings would you expect?
Greater impairments in LEs than UEs
What SCI level is considered to be functional for ambulation?
What is L3
What is a type of brain injury which does not appear on an MRI or CT?
Diffuse
For a patient with moderate to severe Alzheimer's, this is the appropriate practice schedule?
blocked practice
When you rotate your head along the transverse plane, you are activating this canal.
What is the horizontal semicircular canal
What are at least 3 signs of increased intracranial pressure?
What is: altered level of consciousness, altered vitals, widened pulse pressure, irregular respiration, elevated temperature, headache, vomiting
What is the highest SCI lesion level that would be appropriate to complete independent slide board transfers on a level surface?
What is C7
What is the sudden onset of uncontrolled autonomic nervous system stimulation?
dysautonomia
These are the 4 cardinal signs for diagnosis of Parkinson's
bradykinesia, rigidity, tremor, postural instability
The main function of the lateral vestibulospinal reflex is to do this, while the main function of the medial vestibulospinal reflex is to do this.
- Lateral: what is to maintain upright posture?
- Medial: what is to orient the head?
A patient presents with homonymous hemianopsia, contralateral paresis and sensory deficits UEs > LEs, agnosia, and loss of conjugate gaze. What artery was affected that caused their stroke?
What is the Middle Cerebral Artery
You enter a patient’s room who recently sustained a T4 incomplete SCI. You notice the patient is extremely diaphoretic at rest. What should you be worried about and what should your plan of action be?
What is autonomic dysreflexia; look for noxious stimuli and remove it
What are the first three levels of the Ranchos Los Amigos Scale?
No response (coma), generalized response (vegetative state), localized response (minimally conscious)
The main difference between aquatic therapy with an orthopedic patient and aquatic therapy with a multiple sclerosis patient?
water temperature. 92-96 degrees for most patients; 80-85 degrees for MS
All vestibular nerve projects to this area of the brain on its way to the somatosensory cortex.
What is the thalamus
If a patient has a stroke affecting his/her brainstem, what deficits can be expected? (Give at least 2 answers)
Decreased level of consciousness, difficulty swallowing, bilateral limb weakness, severe balance deficits, dizziness/vertigo, slurred speech
You are reviewing a patient’s chart who is diagnosed with SCI neurologic level L2, ASIA level B. What should you expect to see as far as their sensory and motor function?
Sensory function preserved below L2, but no motor function below L2
Name the three categories for the Glasgow Coma Scale.
Eye opening response, best verbal response, and best motor response
A patient with bilateral, rapidly progressing weakness and parasthesia, decreased DTRs, and hx of respiratory infection 2 weeks prior to onset of symptoms may have this neurological syndrome?
Guillain Barre