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Spinal Cord Injury

AB
The goal for this level of SCI is to be weaned of a ventilator:C4 quadriplegia/tetraplegia
The goal of this level of SCI is to become strong enough that they no longer need a mobile arm support:C5 quadriplegia/tetraplegia
This level of SCI will use a tenodesis splint or RIC splint to give hand function (palmar pinch):C6 & C7 quadriplegia/tetraplegia
A low tech substitute that will allow a C6 & C7 quad the abilty to hold items is the:universal cuff
This level of SCI can use a universal cuff for function:C6 & C7 quadriplegia/tetraplegia
This level of SCI can use a dorsal wrist brace with pocket for function:C5 quadriplegia/tetraplegia as they have wrist drop (no wrist extensors)
To activate the mobile arm support in a horizontal direction the patient uses:anterior and posterior deltoid
To activate the mobile arm supprt in a vertical direction the patient uses:scapular depression (distal arm of MAS goes up) and scapular elevation (distal end of MAS goes down)
Which level of SCI uses an electric book standC1-C4
Which level of SCI uses a Winsford FeederC1-C4
Which level of SCI uses the Head Master and WiVek SoftwareC1-C4
The first level of SCI that has the potential to become independent (modified independent) with all self-cares is:C6 quadriplegic/tetraplegic male
Modified independent means:independent with equipment and/or extra time to perform the task
Why does a person with a SCI use a wheelchair cushion:to prevent skin breakdown
In addition to using a wheelchair cushion all SCI patients must do _____ to prevent skin breakdownperform a weigthshift every hour for 1 minute
Complete SCI above _____ have a loss of bowel and bladder functionS2-5
The most common method of emptying the bladder for SCI patients is:intermittent catheterization
The most common method of modified independent/independent emptying the bowel for SCI patients is:use of a dill (digital) stick for C6-C8 quads; use of a finger for paraplegics
Complete upper motor neuron SCI males are capable of having ______ erectionsreflexive
A lowering of blood pressure upon sitting at the EOB (edge of the bed) is called:Orthostatic hypotension, the patient should lay down
Your C6 patient is having a pounding headache, is sweating and has goose bumps. You take his BP and it is high. You suspect he is experiencing:Autonomic Dysreflexia (keep them sitting, loosen clothing, check if wearing a catheter for kinks, seek medical attention
Biceps, brachialis, brachioradialis are key muscles innervated at:C5
Extensor carpi radialis longus and brevis are key muscles innervated at:C6
Triceps and Extensor Digitorum are key muscles innervated at:C7
The diaphragm and trapezius is the key muscles innervated at:C4
The deltoids and supinator are considered key muscles that are innervated at:C5
The SCI patient that uses a mouthstick for function is the:C1-4
A complete SCI is one that has no ____ or _______ function in the S4-S5 regionmotor or sensory
ASIA stands for:American Spinal Injury Association
The thumb and index finger is the sensory dermatome for the ____C6 quadriplegic/tetraplegic
The middle finger is the sensory dermatome for the ______C7 quadriplegic/tetraplegic
The 4th and 5th digits are the sensory dermatome for the _________C8 quadriplegic/tetraplegic
Tenodesis action is:When the wrist is in flexion the fingers are relaxed in extension and when the wrist is in extension the fingers tighten into flexion to attempt to pinch although all hand muscles are absent
Finger flexors (flexor digitorum superficialis and flexor digitorum profundus) are key muscles innervated at:C8
The quadripceps and Hamstrings are innervated at:L4 and therefore the patient can ambulate with short leg braces and 2-point alternating gait
Architectural standards state that the width of a doorway must be:32 inches
A step is 7 inches high. It will require a ramp that is:7 feet long
Architectural standards state that the width of a handicapped parking stall must be:12 feet wide
Architectural standards state that the height of a kitchen counter top for a person in a W/C must be:30 inch
Your patient has P- (2-) elbow flexors. The therapeutic exercise level that is performed to attempt to increase strength is:active assistive exercise - gravity eliminated position
Your patient has F- (3-) elbow flexors. The therapeutic exercise level that is performed to attempt to increase strength is:active assistive exercise -against gravity position
Your patient has F (3) elbow flexors. The therapeutic exercise level that is performed to attempt to increase strength is:active exercise - against gravity
Your patient has P+ (2+) elbow flexors. The therapeutic exercise level that is performed to attempt to increase strength is:Active resistive exercise - gravity eliminated or active assistive exercise - against gravity
Your patient has P (2) elbow flexors. The therapeutic exercise level that is performed to attempt to increase strength is:active exercise - gravity eliminated
Your patient has F+ (3+) elbow flexors. The therapeutic exercise level that is performed to attempt to increase strength is:active resistive exercise - against gravity
Any muscle that has a grade of F+ (3+) or better is exercised as:active resistive exercise - against gravity
Your patient has P- (2-) elbow flexors. The therapeutic exercise level that is performed to attempt to increase strength is:active assistive exercise - gravity eliminated position


Faculty - Occupational Therapy Assistant Program
Milwaukee Area Technical College
Milwaukee, WI

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