Deck 38: Spinal Cord Injury

Question 1

While you are treating Rick,he begins to grow pale and faint.According to the text,he is showing signs of _____ and you should _____.

A) Autonomic dysreflexia; elevate his legs
B) Postural hypotension; tip the wheelchair back
C) Autonomic dysreflexia; rush him to the ward and notify the physician
D) Postural hypotension; put his head down between his knees

Answer 1

B

Question 2

While working with Rick,you notice that he begins to perspire profusely,complains of a severe headache,and looks flushed.He is showing signs of _____,and you should _____.

A) Postural hypotension; tip the wheelchair back for a few minutes
B) Autonomic dysreflexia; elevate his legs
C) Malingering; continue intervention and ignore complaints
D) Autonomic dysreflexia; seek medical assistance

Answer 2

D

Question 3

Which of the following activities of daily living and instrumental activities of daily living will be most difficult for Rick to perform independently?

A) Feeding himself and brushing his hair
B) Upper extremity dressing
C) Driving
D) Lower extremity dressing

Answer 3

D
Independence in feeding and grooming,upper extremity dressing and driving (with specialized equipment)can be accomplished by clients at the C5 and C6 levels of function.Lower extremity dressing,however,typically requires some type of assistance at these levels.

Question 4

You are testing Rick's sensation/perception. Which of the following tests should be least relevant to his disability?

A) Touch and superficial pain
B) Position sense and stereognosis
C) Body scheme and visual spatial perception
D) Thermal and pressure sensitivity

Question 5

Which of the following is another primary goal in the early stage of OT for Rick?

A) Achieve independence in lower extremity dressing
B) Improve physical endurance
C) Learn transfer skills
D) Explore vocational possibilities

Question 6

When being trained to use the tenodesis wrist-hand orthosis or flexor hinge hand splint,Rick should be taught to perform palmar prehension by doing which of the following?

A) Flexing the wrist
B) Extending the wrist
C) Flexing the fingers
D) Extending the fingers

Question 7

Rick was wearing a neck brace because of neck instability in the early phases of rehabilitation. During this time you were asked to do a manual muscle test of the upper extremities.What should you do?

A) Perform manual muscle test, following standard procedures for all movements.
B) Test forearms and hands only.
C) Test shoulders, forearms, and hands, forgoing resistance at end of motion while following the shoulder protocols.
D) Defer the test until the brace is removed.

Question 8

You are testing Rick's upper extremity function.Which of the following series of tests would you select to yield the most comprehensive information?

A) Manual muscle test, synergy patterns, functional muscle examination
B) Manual muscle test, active range of motion (ROM) test, functional motion test, visual perceptual tests
C) Manual muscle test, passive ROM test, functional motion test, sensory test

Question 9

A primary intervention aim for Rick would be to increase the strength of which of the following?

A) Triceps, finger extensors, and finger flexors
B) Biceps, pectoralis major, and wrist extensors
C) All of the above plus hand intrinsics
D) All of the above plus wrist flexors