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SCI knowledge Check

Total questions: 31

Worksheet time: 16mins

Name
Class
Date
1.

Your C7 spinal cord injured patient has a minimum elbow extension grade of:

a)

5/5

b)

3/5

c)

2/5

d)

-2/5

2.

Incomplete spinal cord injuries have:

a)

ASIA scale A

b)

no motor or sensation below injury level

c)

inability to ambulate

d)

sacral sparing

3.

This happens immediatley after a spinal cord injury resulting in flaccidity, areflexia, and loss of bowel/bladder function.

a)

Spinal Shock

b)

Sacral Sparing

c)

autonomic dysreflexia

d)

regain function of the S4/S5 dermatome

4.

A spinal cord injury at L2 would possibly present as:

a)

3/5 hip flexion, 2/5 or worse for knee flexion, extension

b)

3/5 hip extension, 2/5 or worse for knee flexion, extension

c)

3/5 hip abduction, 2/5 or worse for knee flexion, extension

d)

3/5 hip flexion, 5/5 or for knee flexion, extension

5.

Your patient with a spinal cord injury at T10 may need which of the following:

a)

transfer board and dependent assist

b)

breathing stimulator

c)

TLSO

d)

power-assisted chair

6.

This type of SCI results in loss of sensation on the opposite side of the body


a)
Complete spinal cord injury
b)
Horner's syndrome
c)
Anterior cord syndrome
d)
Brown-Séquard syndrome
7.

This spinal cord injury may have higher MMT in the lower extremity compared to the upper extremity


a)

Brown-Sequard

b)

Anterior Cord

c)

Central Cord

d)

Posterior Cord

8.

This spinal cord injury may have an increased loss of balance, pressure, and stretch sensations.


a)

central cord

b)

anterior cord

c)

posterior cord

d)

Brown-Sequard

9.

Areflexive bowel and bladder:

a)
Areflexive bowel and bladder is a condition with increased reflex control.
b)
Areflexive bowel and bladder is characterized by excessive muscle contractions.
c)
Areflexive bowel and bladder refers to normal reflex function.
d)
Areflexive bowel and bladder is a condition characterized by loss of reflex control.
10.

This condition is a medical emergency:

a)

autonomic dysreflexia

b)

areflexive bowel

c)

spastic bowel

d)

orthostatic hypotension

11.

A PTA evaluates a patient with weakness in shoulder external rotation during a manual muscle test. Which nerve is PRIMARILY responsible for innervating the muscles that perform this action?

a)
  • Suprascapular nerve

b)
  • Axillary nerve

c)
  • Radial nerve

d)
  • Musculocutaneous nerve

12.

A patient with a complete T10 spinal cord injury is preparing for community mobility in a manual wheelchair. The PTA is instructing the patient on wheelchair skills to navigate curbs. What is the BEST strategy to teach the patient for safely ascending a standard curb?

a)
  • Perform a wheelie to lift the front casters and push forward to ascend the curb

b)
  • Approach the curb backward and pull the wheelchair up using upper body strength

c)
  • Use a ramp to avoid the curb entirely

d)
  • Lean forward and push rapidly to lift the wheelchair over the curb

13.

A patient with a complete spinal cord injury is evaluated by a PTA for the ability to perform independent transfers without a transfer board (e.g., bed to wheelchair). What is the HIGHEST spinal level at which the patient is MOST likely to achieve this?

a)

C6

b)

C7

c)

T4

d)

T12

14.

A PTA is training a patient with a complete spinal cord injury to transfer using a sliding board. What is the HIGHEST spinal level at which the patient is likely to perform transfers with a transfer board safely?

a)

C5

b)

C6

c)

C7

d)

T1

15.

A patient with a complete spinal cord injury is evaluated by a PTA for driving potential using adaptive controls. What is the HIGHEST spinal level at which the patient is likely to drive with adaptive controls?

a)

C4

b)

C5

c)

C6

d)

C7

16.

PTA notes that a patient with a spinal cord injury at the T6 level demonstrates voluntary toe flexion and perianal sensation. Which characteristic BEST indicates that this patient’s SCI is classified as incomplete?

a)
  • Sacral sparing

b)
  • Hyper-reflexia in the lower extremities

c)
  • Muscle strength of 3/5 in the quadriceps

d)
  • Intact proprioception below the injury level

17.

A PTA is working with a patient diagnosed with a complete T4 spinal cord injury during a rehabilitation session. Over the past week, the patient reports new weakness in the upper extremities, with manual muscle testing revealing 3/5 strength in elbow flexion and shoulder abduction, consistent with a C7 neurological level. What is the MOST appropriate action for the PTA to take in response to this new finding?

a)
  • Notify the supervising physical therapist immediately to initiate medical consultation

b)
  • Continue the current plan of care and monitor for further changes over the next week

c)
  • Adjust the exercise program to focus on upper extremity strengthening

d)
  • Document the findings and discuss with the patient’s caregiver at the next session

18.

A PTA is assessing sensory function in a patient with a suspected cervical spinal cord injury. The patient reports intact sensation over the lateral aspect of the elbow. Which dermatome level is MOST likely associated with this sensory landmark?

a)

C5

b)

C6

c)

C7

d)

T1

19.

During a sensory evaluation, a PTA finds that a patient with a spinal cord injury has preserved sensation over the thumb. Which dermatome level is MOST likely responsible for this sensation?

a)

C5

b)

C6

c)

L3

d)

C8

20.

A PTA evaluates a patient with a cervical spinal cord injury and notes intact sensation at the tip of the middle finger. Which dermatome level is MOST likely associated with this finding?

a)

C6

b)

C7

c)

C8

d)

T1

21.

A PTA is determining the sensory level in a patient with a thoracic spinal cord injury. The patient reports intact sensation at the nipple line. Which dermatome level is MOST likely responsible for this sensation?

a)

T1

b)

T4

c)

L3

d)

T10

22.

A PTA evaluates a patient with a spinal cord injury and finds preserved sensation around the umbilicus. Which dermatome level is MOST likely associated with this finding?

a)

T4

b)

T10

c)

L3

d)

S1

23.

A PTA is assessing a patient with a spinal cord injury who demonstrates preserved sensation in the little finger. Which dermatome level is MOST likely responsible for this sensation?

a)

C7

b)

C8

c)

C6

d)

T1

24.

Which spinal cord syndrome is characterized by greater motor impairment in the upper extremities than in the lower extremities?

a)

Posterior cord syndrome

b)

Brown-Séquard syndrome

c)

Anterior cord syndrome

d)

Central cord syndrome

25.

A patient with a spinal cord injury at the T12 level is MOST likely to have which of the following functional abilities?

a)

Independent ambulation with assistive devices

b)

Dependent transfers with a sliding board

c)

Ability to perform self-care with minimal assistance

d)

Complete loss of upper extremity function

26.

A patient with a spinal cord injury at the C6 level is MOST likely to have which of the following functional abilities?

a)

Ability to ambulate without assistive devices

b)

Independent use of manual wheelchair with hand rims

c)

Complete loss of shoulder movement

d)

Full hand and finger function

27.

Which of the following is MOST characteristic of anterior cord syndrome following a spinal cord injury?

a)

Loss of proprioception and vibration sense below the lesion

b)

Greater weakness in the upper extremities than lower extremities

c)

Preserved motor function with loss of pain and temperature sensation

d)

Loss of motor function and pain and temperature sensation below the lesion

28.

During assessment, a PTA finds that a patient with a spinal cord injury has intact sensation over the medial aspect of the forearm. Which dermatome level is MOST likely responsible for this sensation?

a)

C6

b)

T1

c)

C5

d)

C8

29.

Which spinal cord syndrome is MOST likely to result in loss of pain and temperature sensation with preserved proprioception below the level of injury?

a)

Anterior cord syndrome

b)

Brown-Séquard syndrome

c)

Central cord syndrome

d)

Posterior cord syndrome

30.

A PTA is working with a patient who has a spinal cord injury at the C7 level. Which of the following functional abilities is the patient MOST likely to demonstrate?

a)

Independent transfers without a transfer board

b)

Full hand and finger function

c)

Ability to ambulate without assistive devices

d)

Complete loss of shoulder movement

31.

During a neurological assessment, a patient with a spinal cord injury is found to have intact sensation at the level of the xiphoid process. Which dermatome level is MOST likely responsible for this sensation?

a)

L1

b)

T4

c)

T6

d)

T10