quiz 3

Hemorrhagic strokes account for _____ of all deaths from stroke. 10% 20% 25% 30%

Hemorrhagic strokes account for _____ of all deaths from stroke. 10% 20% 25% 30%* Feedback Hemorrhagic strokes account for 30% of all deaths from stroke. Ischemic account for 70%

If a therapist is attempting to ambulate a patient with pusher's syndrome, where should the clinician position himself? The patient's involved side In front of the patient Behind the patient On the patient's uninvolved side

If a therapist is attempting to ambulate a patient with pusher's syndrome, where should the clinician position himself? The patient's involved side In front of the patient Behind the patient On the patient's uninvolved side* Feedback In the case of pusher's syndrome, the clinician should position himself on the patient's uninvolved side in an effort to increase weight bearing there.

If an individual sustains a grade 1 concussion, how long does it usually take symptoms to resolve? 5 minutes 10 minutes 15 minutes 20 minutes .

If an individual sustains a grade 1 concussion, how long does it usually take symptoms to resolve? 5 minutes 10 minutes 15 minutes* 20 minutes Feedback In a grade 1 concussion, the person is confused, dazed, and experiences difficulty following directions and thinking clearly, but the individual remains conscious. Symptoms resolve within 15 minutes... thought I saw 20 in PP? "Mild: GCS of 13 or higher, loss of consciousness lasting less than 20 minutes" slide 20 TBI

In a patient after TBI, _________ deficits are the most problematic for functional independence and function within society. motor cognitive vestibular visual

In a patient after TBI, _________ deficits are the most problematic for functional independence and function within society. motor cognitive* vestibular visual Feedback Cognitive deficits and concomitant behavioral problems after TBI are the most enduring and socially disabling beyond physical limitations because lack of judgment impairs safety.

In acute rehabilitation of a TBI, how many sources of sensory input should the therapist use at one time? 1 2 3 4

In acute rehabilitation of a TBI, how many sources of sensory input should the therapist use at one time? 1* 2 3 4 Feedback Only one sensory stimulus should be administered at a time. If the therapist is using tactile stimuli, no other sensory input should be provided.

Most common change in TBIs

cognitive.. impaired judgement leads to safety concerns

Review:

4 gait pattern

Most common complication after CVA STROKE?

**Falls most common complication after stroke (7% after first week, 73% in first year s/p stroke)

-Cauda equina injury considered UPM or LMN injury?

-Cauda equina injury considered PNS injury Direct trauma from a fracture-dislocation below L1 Peripheral nerve injury.. LMN injury.. better ability to regenerate; flaccidity, areflexia, loss of bowel and bladder function

Most common cause SCI Ages most likely to occur?

MVA(39.3%), falls (31.8%), acts of violence (13.5%), sports and recreation related injuries (8.0%), and medical and surgical complications (4.3%) are the most common causes of SCIs in the United States SCIs are most likely to occur in young adults between the ages of 16 and 30 years.

What is the highest SCI injury level that can achieve functional community ambulation? T11 T12 L2 L3

What is the highest SCI injury level that can achieve functional community ambulation? T11 T12 L2 L3* Feedback Patient's with injuries at the T12 through L2 level have the potential to be household ambulators, whereas patients with innervation of L3 can achieve functional community ambulation. T12-L2 = household ambulators: those able to amb in home with orthoses or assistive devices, transfer independently, and amb on level surfaces of varying textures, and to negotiate doorways and minor architectural barriers L 3 or lower = community ambulators : those that amb with or without orthoses or assistive devices; able to amb independently in the community and can negotiate all environmental barriers

What is the most common cause of traumatic brain injury (TBI)? Falls Struck by an object Motor vehicle accidents Assault age?

What is the most common cause of traumatic brain injury (TBI)? Falls* Struck by an object Motor vehicle accidents Assault Feedback The most common cause of TBI is falls, followed by unknown, being struck by an object, motor vehicle accidents, and assaults. Most common cause → FALLS (40.5%) Other causes: unknown, being struck by an object, MVA, assaults Incidence peaks at 3 different age stages: 1-2; 15- 24 years, and elderly over 75. Men 2:1 ratio

What is the most common type of incomplete spinal cord injury? Anterior cord syndrome Posterior cord syndrome Central cord syndrome Brown-Sequard syndrome

What is the most common type of incomplete spinal cord injury? Anterior cord syndrome Posterior cord syndrome Central cord syndrome* Brown-Sequard syndrome Feedback Central cord syndrome is the most common type of incomplete spinal cord injury. This type of spinal cord injury (SCI) can result from progressive stenosis or compression that is a consequence of hyperextension injuries.

What is the most common type of injury to the cervical region of the spinal cord? One that involves extension and rotation One that involves only extension One that involves only flexion One that involves flexion and rotation

What is the most common type of injury to the cervical region of the spinal cord? One that involves extension and rotation One that involves only extension One that involves only flexion One that involves flexion and rotation* Feedback In the cervical region, the most common type of injury is one that involves flexion and rotation.

When a patient with SCI is learning to ambulate for the first time in the parallel bars, which of the following is the correct gait pattern that should be instructed by the therapist? Swing through gait pattern Swing to gait pattern Reciprocal gait pattern 4-point gait pattern

When a patient with SCI is learning to ambulate for the first time in the parallel bars, which of the following is the correct gait pattern that should be instructed by the therapist? Swing through gait pattern Swing to gait pattern* Reciprocal gait pattern 4-point gait pattern Feedback Because the patient will be moving the feet the same distance as the hands on the parallel bars, a swing to gait pattern is the safest initial gait pattern.

Which of the following is not a symptom of autonomic dysreflexia? Severe and pounding headache Tachycardia Vasoconstriction below the level of the lesion Vasodilation above the level of the injury

Which of the following is not a symptom of autonomic dysreflexia? Severe and pounding headache Tachycardia* Vasoconstriction below the level of the lesion Vasodilation above the level of the injury Feedback Symptoms of autonomic dysreflexia include significant hypertension, severe pounding headache, bradycardia, vasoconstriction below the level of the lesion, vasodilation and profuse sweating above the level of the injury, constricted pupils, piloerection, blurred vision, and a runny nose.