Question 1

An OTA is working with a client who sustained a nontraumatic T5 SCI. Which of the following would have caused this issue?&#10;A) Pneumonia&#10;B) Gunshot wound&#10;C) Sports injury&#10;D) Inflammation

Accepted Answer

A nontraumatic spinal cord injury is caused by diseases or disorders rather than physical trauma. Inflammation of the spinal cord can be a cause of nontraumatic SCI. Pneumonia, gunshot wounds, and sports injuries are examples of traumatic SCIs.

Question 2

An OTA is working with a client who has a T1 SCI. The client prefers the use of a manual wheelchair. What should the OTA address with the client as a part of mobility training?&#10;A) Combined wheelchair and ambulation techniques&#10;B) Safe transfers between surfaces&#10;C) Tolerating getting out of bed with mobility equipment&#10;D) How to safely lock the breaks during transfers

Accepted Answer

The OTA should address safe transfers between surfaces as part of mobility training for a client with a T1 SCI using a manual wheelchair, as this is crucial for independent mobility and safety.

Question 3

A 21-year-old client has sustained a SCI to the cervical region of the spine. What is the correct term for the result of this injury?&#10;A) Tetraplegia&#10;B) Quadriplegia&#10;C) Paraplegia&#10;D) Hemiplegia

Accepted Answer

Tetraplegia and quadriplegia are synonymous terms used to describe paralysis of all four limbs, typically resulting from a cervical spinal cord injury.

Question 4

An OTA is working with a client with a SCI who is losing motivation in the rehabilitation process. Which of the following factors could place this person at risk for the development of depression?&#10;A) Post-injury personality&#10;B) Low level of impairment&#10;C) Past coping mechanisms&#10;D) High levels of anxiety

Accepted Answer

The answer of An OTA is working with a client...

Question 5

A client with a C7 complete SCI is complaining of a headache during treatment. The OTA notices that the client is also sweating above her level of injury and has goosebumps. Upon close examination, the OTA notes a kink in the client's catheter and immediately notifies the medical team. What condition is this client demonstrating?

A) Orthostatic hypotension
B) Autonomic dysreflexia
C) Deep vein thrombosis
D) Urinary sepsis

Accepted Answer

The client is demonstrating symptoms of autonomic dysreflexia, a potentially life-threatening condition that can occur in individuals with SCI at T6 or above. The headache, sweating, and goosebumps are signs of autonomic overactivity, while the kink in the catheter may be causing a painful sensation or discomfort below the level of injury. It is important to identify and resolve the cause of the autonomic dysreflexia immediately, as it can lead to dangerous spikes in blood pressure and even seizures or strokes if left untreated.

Question 6

A client has a tumor at the L5 level of the spinal cord. On a recent evaluation, the client was able to demonstrate some sphincter control for toileting. What type of SCI would this individual most likely have?

A) Complete
B) Incomplete
C) Lumbosacral
D) Tetraplegia

Accepted Answer

The client's ability to demonstrate some sphincter control indicates that they have an incomplete SCI. The location of the tumor at the L5 level of the spinal cord suggests that it is a lumbosacral SCI, affecting the lower part of the spinal cord. The options of complete and tetraplegia are not relevant to this scenario.

Question 7

A client has sustained a complete C5 SCI. What will this client most likely experience?&#10;A) Some preserved motor function in the S4-S5 segments&#10;B) Total lack of function in the S4-S5 segments&#10;C) Some preserved sensory function in the S4-S5 segments&#10;D) All sensory and motor function in the S4-S5 segments

Accepted Answer

A complete SCI at the C5 level typically results in a total lack of function below the injury, including the S4-S5 segments. While preserved motor and sensory function in the S4-S5 segments may be present in some cases of incomplete SCI, it is not typically seen in a complete SCI at the C5 level.

Question 8

An OTA is working with a client who is complaining of pain after her SCI. How can the OTA work with the client to empower her to manage the pain after discharge?&#10;A) Prioritize daily activities, including rest breaks.&#10;B) Refer the client to her physician for pain medication.&#10;C) Reduce the amount of exercise to rest the muscles.&#10;D) Teach the client to perform pressure relief every hour.

Accepted Answer

Teaching the client to prioritize daily activities, including rest breaks, empowers her to manage her pain by balancing activity and rest, which can help prevent exacerbation of pain.

Question 9

A client with an incomplete SCI is working on a bowel management program. The client is rather upset and states that he cannot meet his friends for social events anymore. Why would the client be feeling this way?

A) He fears that his bowel management program takes too much time.
B) He is unsure if his favorite locations have accessible restrooms.
C) He is afraid of an episode of incontinence.
D) He does not like the idea of digital stimulation.

Accepted Answer

The client may be afraid of an episode of incontinence and the embarrassment it may bring in social situations. This can lead to social isolation and feelings of sadness or frustration. Options A, B and D may also be factors, but option C is the best choice based on the given information.

Question 10

An OTA is working with a client who has a C5 SCI. Which activity would be the most appropriate for this individual?&#10;A) Use of a universal cuff for functional activities&#10;B) Directing care during ADLs&#10;C) Use of a tenodesis grasp for picking up items&#10;D) Grasp-and-release activities

Accepted Answer

A C5 spinal cord injury typically results in limited hand and wrist function. A universal cuff can help the individual perform functional activities by holding objects without requiring grip strength.

Deck 35: Spinal Cord Injury and Disease: Factors and Essential Care