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neuro final exam
final
| Question | Answer |
|---|---|
| Unable to name or demonstrate use of common household items | visual agnosia |
| Most effective way to teach person to normalize muscle movement | weight bearing through UE |
| Best way to teach how to button shirt | start from bottom |
| First positioning device for flaccid arm over w/c | arm trough |
| Most effective sequence lft hemi, unilateral neglect | shirt on lap, lft hand, rt. Hand, shirt over heard |
| CVA most likely for stabilization of potato | cutting board with nails |
| CVA inpt. Rehab mina ADL, I BADL, return to work as cashier reccommended OT | Outpt. OT |
| Best facilitation ADL for lft CVA, rt. Side hemi motor apraxia | provide individual detailed step by step commands for each task |
| OT application for PNF | diagonal patterns ADLs |
| Proprioceptive neuromotor facilitation believes in multisensory approach does not use | vestibular |
| Sensorimotor tx. approach most appropriate | CVA |
| According to Rood, tapping over muscle belly | increase muscle tone |
| Icing, tapping, fast brushing | will facilitate muscle reactions |
| Bobath NDT tx. emphasizes | normal movement patterns |
| Bobath goal tx. to increase awareness of affected side during ADL or IADL | teach pt. to perform bilaterally |
| Brunstrom first stage of motor recovery of hemiplegic arm | flaccid |
| Pt. with CVA copy clock flat on Lft side | Lft unilateral neglect |
| Laughing and crying throughout tx session | emotional lability |
| Pt. emerged from coma, best guide to severity of diffuse damage | Ranchos Los Amigos Scale |
| Person goes through routine robotic, still requires structure and supervision to ensure safety | RLA-VII |
| Reacting inconsistently and nonpurposefully to stimuli, responses delayed | simplify vocab, slow rate of speech |
| RLA level VII most appropriate intervention | card games |
| RLA level VII | no decreased sensation below spinal level |
| Anterior Cord Syndrome | paralysis, loss of pain/temp/ and sensation |
| Autonomic dysreflexia | problem in people who have sustained cervical and high thoracic lesions |
| Pounding headache, anxiety, perspiration, flushing, chills, goosebumps, HTN | autonomic disreflexia |
| w/c positioning begins at pt.’s | pelvis |
| first step | sit up |
| lowest SCI level needing respirator | C3 |
| wrist extension tenodesis, knobs on w/c | C6 |
| spinal shock does not include | neurovascular shutdown |
| no fitting for manual w/c | C4 |
| portable respiratory for C4 | no |
| d/c to private residence | yes |
| tenodesis | C6 |
| power w/c more convenient | C5 |
Created by:
mejasha
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