Biology and Spinal Cord Injury Quiz
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Questions and Answers

Which of the following is NOT a shape of bacteria?

  • Cocci
  • Viridia (correct)
  • Spirilla
  • Bacilli

What is the first step of viral infection?

  • Penetration
  • Release
  • Replication
  • Attachment (correct)

Which of the following routes is associated with transmission by an insect?

  • Fomite Contact
  • Vector Transmission (correct)
  • Zoonotic Transmission
  • Airborne

Which organism primarily consists of single-celled entities that can cause harm?

<p>Protozoa (C)</p> Signup and view all the answers

What is the step in establishing infection where a pathogen avoids the host's defenses?

<p>Colonization (A)</p> Signup and view all the answers

What is the result of a complete transection of the spinal cord at the C8 level?

<p>Quadriplegia (D)</p> Signup and view all the answers

Which type of spinal cord injury is characterized by a downward axial load causing a compression fracture?

<p>Compression Injury (C)</p> Signup and view all the answers

What is a common outcome of spinal shock following an injury?

<p>Loss of deep tendon reflexes (C)</p> Signup and view all the answers

What type of injury is caused by a fall hitting the chin?

<p>Hyperextension Injury (A)</p> Signup and view all the answers

Which statement is true regarding neurogenic shock?

<p>It results from loss of sympathetic activity. (A)</p> Signup and view all the answers

What is primarily assessed in the Priority Assessment for identifying Compartment Syndrome?

<p>The 6 P's (C)</p> Signup and view all the answers

Which of the following describes a common symptom of Bursitis?

<p>Inflammation of the bursa (C)</p> Signup and view all the answers

Which condition is characterized as 'Bamboo Spine' due to joint inflammation and fusion of bones?

<p>Ankylosis (D)</p> Signup and view all the answers

Which of the following is NOT part of the Primary Survey used to identify life-threatening conditions?

<p>Pulse (C)</p> Signup and view all the answers

What is the primary mechanism by which botulinum toxin affects the neuromuscular junction?

<p>It blocks the release of acetylcholine. (A)</p> Signup and view all the answers

What assessment is specifically used to check the health of surrounding tissue in cases of fractures or dislocations?

<p>Priority Assessment (C)</p> Signup and view all the answers

Which of the following is a common source of botulinum toxin?

<p>Honey (B)</p> Signup and view all the answers

What is the underlying problem in Myasthenia Gravis?

<p>Autoimmune destruction of acetylcholine receptors. (A)</p> Signup and view all the answers

What is the effect of tetanus toxin on the nervous system?

<p>It blocks inhibitory nerves in the brain. (D)</p> Signup and view all the answers

Which symptom is most commonly associated with Myasthenia Gravis?

<p>Difficulty swallowing. (B)</p> Signup and view all the answers

What characterizes narcolepsy?

<p>Recurrent sleep phenomena during wakefulness (C)</p> Signup and view all the answers

Which term describes the experience occurring when one is falling asleep?

<p>Hypnagogic (A)</p> Signup and view all the answers

What is an embolus?

<p>A piece of thrombus that travels through circulation (B)</p> Signup and view all the answers

What percentage of cerebrovascular accidents (CVA) are ischemic strokes?

<p>80-85% (B)</p> Signup and view all the answers

What does a transient ischemic attack (TIA) indicate?

<p>Increased risk of subsequent stroke (D)</p> Signup and view all the answers

Which of the following is NOT a sign or symptom in the BE FAST acronym for stroke?

<p>Emotional swings (D)</p> Signup and view all the answers

What is the definition of a thrombus?

<p>A clot that forms within a blood vessel (B)</p> Signup and view all the answers

Which statement is true regarding hemorrhagic strokes?

<p>They account for 15-20% of all CVA cases. (B)</p> Signup and view all the answers

What is the primary characteristic of diffuse brain injury?

<p>Inability to see specific areas of damage on imaging (A)</p> Signup and view all the answers

What type of posturing is indicated by flexed arms and wrists with extended legs rotated inward?

<p>Decorticate posturing (C)</p> Signup and view all the answers

Which type of hematoma is associated with a tear in an artery and generally leads to fast, severe bleeding?

<p>Epidural hematoma (A)</p> Signup and view all the answers

Which injury is characterized by shearing of axons due to violent movement of the brain within the skull?

<p>Diffuse Axonal Injury (D)</p> Signup and view all the answers

What does the term 'coup' refer to in the context of coup-contrecoup injury?

<p>The initial site of impact where the trauma occurs (D)</p> Signup and view all the answers

What type of posturing involves an extended head, arched back, extended arms, and legs rotated inward?

<p>Decerebrate posturing (C)</p> Signup and view all the answers

Subdural hematomas are typically associated with which type of bleeding?

<p>Slow bleeding due to vein rupture (D)</p> Signup and view all the answers

Intracerebral hemorrhage is most often caused by which of the following?

<p>Hypertension leading to ruptured aneurysm (C)</p> Signup and view all the answers

Flashcards

Protozoa

Single-celled organisms that cause harmful infections.

Virus

A type of microbe that can infect a host and cause disease.

Viral Infection

The process by which a virus enters a host cell and replicates.

Airborne Transmission

A method of transmission where microbes spread through the air.

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Microbe

A type of microbe that can cause disease.

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Botulinum Toxin

A neurotoxin that blocks the release of acetylcholine at the neuromuscular junction, causing a descending paralysis. This can be found in improperly canned foods like honey.

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Tetanus Toxin

A neurotoxin that blocks inhibitory nerves in the brain, causing muscle spasms and rigidity. It is often contracted via contaminated wounds.

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Myasthenia Gravis

An autoimmune disorder where the body's immune system attacks acetylcholine receptors at the neuromuscular junction. This leads to weakness and fatigue, especially in the eyes, face, and swallowing muscles.

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Generalized Anxiety Disorder (GAD)

Characterized by excessive anxiety and worry that is difficult to control. Individuals with GAD often experience physical symptoms like restlessness, fatigue, and difficulty concentrating.

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Social Anxiety Disorder

Characterized by intense fear and avoidance of social situations. Individuals with Social Anxiety Disorder may experience physical symptoms like blushing, sweating, and trembling.

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Narcolepsy

Sudden, involuntary sleep attacks that happen during wakefulness. Often accompanied by sudden weakness or loss of muscle control (cataplexy).

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Hypnagogic

A condition where sleepiness occurs while falling asleep.

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Hypnopompic

A condition where sleepiness occurs while waking up.

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Thrombus

A clot that forms inside a blood vessel, blocking blood flow. Often caused by hardening of the arteries (atherosclerosis).

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Embolus

A piece of a thrombus that breaks loose and travels through the bloodstream, potentially blocking another blood vessel. Can be caused by fat, air, tumor, bacteria, or foreign bodies.

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Ischemic Stroke

A stroke caused by a blockage in an artery in the brain, leading to reduced blood flow (ischemia) to a part of the brain.

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Hemorrhagic Stroke

A stroke caused by a ruptured artery in the brain, leading to bleeding in the brain.

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Transient Ischemic Attack (TIA)

A temporary blockage in a blood vessel in the brain, causing symptoms that last only minutes. It often warns of a higher risk of stroke.

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Spinal Cord Injury

Injury to the spinal cord that can be temporary or permanent, leading to different levels of paralysis depending on the severity and location.

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Complete Transection

A type of spinal cord injury where the cord is completely severed, resulting in a permanent loss of function below the injury.

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Partial Transection

A type of spinal cord injury where the cord is partially damaged, leading to a partial loss of function.

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Flexion Injury

A type of spinal cord injury caused by a forceful forward bending of the spine, potentially leading to a fracture or dislocation of the vertebrae.

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Hyperextension Injury

A type of spinal cord injury caused by a forceful backward bending of the spine, potentially leading to ligament tears and spinal instability.

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Concussion

A mild traumatic brain injury caused by an impact to the head or a sudden jolt, like whiplash.

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Diffuse Axonal Injury (DAI)

Moderate to severe traumatic brain injury that occurs when axons are stretched and torn due to violent movements of the brain within the skull.

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Decorticate Posturing

A position of the body characterized by flexed arms and wrists, extended legs rotated inward, and a possible extension of the head.

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Decerebrate Posturing

A position of the body characterized by extended arms and elbows, extended legs rotated inward, and a possible extension of the head with an arched back.

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Coup-Contrecoup Injury

A brain injury involving two injury sites: one at the point of impact (coup) and another opposite the impact (contrecoup).

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Epidural Hematoma

A collection of blood between the skull and the dura mater, often caused by a tear in an artery.

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Subdural Hematoma

A collection of blood between the dura mater and arachnoid mater, often caused by a rupture in a vein.

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Intracerebral Hemorrhage

Bleeding within the brain tissue, often caused by a ruptured aneurysm or trauma.

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Primary Survey

A medical assessment used to identify life-threatening conditions in trauma patients, focusing on airway, breathing, circulation, disability, and exposure. Think of it as a quick check for immediate threats in the setting of an injury.

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Priority Assessment (6 P's)

A medical assessment used to determine the health of tissues surrounding a fracture or dislocation, specifically for Compartment Syndrome. It involves checking for pain, pulse, pallor, paresthesia, paralysis, and poikilothermia.

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Kyphosis

An abnormal curvature of the spine where the upper back curves excessively outward (humpback).

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Lordosis

An abnormal curvature of the spine where the lower back curves excessively inward (swayback).

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Scoliosis

An abnormal curvature of the spine where the spine curves sideways, creating a 'C' or 'S' shape.

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Study Notes

BIO280: Pathophysiology Lecture Outlines

  • Course outline created to aid student study, includes lecture and exam content, space for notes, supplemental worksheets, and previous student resources.

Strategies for Success

  • Course designed as a "flipped classroom", video lectures and case studies done before Zoom sessions for deeper understanding.
  • Module quizzes are interactive, designed to assess comprehension and mastery of module content, to be completed after significant study time.
  • Course is fast-paced, providing a foundation for pathophysiological principles used throughout the nursing program.
  • Pathophysiology and pharmacology exams are staggered.

Diversity, Equity, and Inclusiveness

  • Language used in the materials surrounding genetics is intended to promote inclusivity across genders and sexual orientations.

Module 1 – Week 1: Fluid and Electrolytes; Acid/Base Balance

  • Fluid distribution: 60% of body weight is water, 2/3 intracellular and 1/3 extracellular
  • Intracellular fluids are inside cells; extracellular fluids include intravascular (blood), interstitial (tissues), and transcellular.
  • Fluid regulation: Renin-Angiotensin-Aldosterone System (RAAS), Antidiuretic Hormone (ADH), Atrial Natriuretic Peptide (ANP)/Brain Natriuretic Peptide (BNP) affects plasma volume, blood pressure, and vascular tone.
  • Key hormones of RAAS: Renin, Angiotensin, Aldosterone
  • Water follows salt (sodium).

Module 1 – Week 1: Edema

  • Edema is fluid leaving blood vessels and entering interstitial space.
  • Causes of edema: increased hydrostatic pressure, decreased colloidal osmotic pressure (oncotic pressure)
  • Hydrostatic pressure pushes fluid out of the blood vessels; osmotic pressure pulls fluid into the blood vessels.

Module 1 – Week 1: Fluid Volume Imbalance

  • Excessive water loss results in decreased blood volume and increased blood osmolality, characterized by decreased blood pressure, weight loss, and concentrated urine.
  • Syndrome of Inappropriate Antidiuretic Hormone (SIADH) is characterized by excessive ADH, fluid overload, hyponatremia, concentrated urine, and edema.

Module 1 – Week 1: Electrolytes: Sodium (Na+)

  • Normal lab values: 135-145 mEq/L.
  • Sodium regulates fluid volume and movement.
  • Hyponatremia: low sodium, symptoms include irritability, confusion, headache, muscle cramps.
  • Hypernatremia: high sodium, symptoms include thirst, lethargy, fatigue, confusion etc.

Module 1 – Week 1: Electrolytes: Potassium (K+)

  • Normal lab values: 3.5-5.0 mEq/L
  • Potassium regulates cardiac muscle conduction.
  • Hypokalemia: low potassium, delayed repolarization, causing cardiac dysrhythmias.
  • Hyperkalemia: high potassium, causes a sharper T-wave in ECG, can cause cardiac dysrhythmias.

Module 1 – Week 1: Electrolytes: Calcium (Ca2+)/Phosphate (PO4+)/Magnesium (Mg2+)

  • Calcium: 9.0-10.5 mg/dL
  • Hypocalcemia: low Calcium, causes Trousseau's and Chvostek's signs.
  • Hypercalcemia: high Calcium, causes anorexia, nausea, dehydration, and muscle weakness.
  • Phosphate: 2.5-4.5 mg/dL
  • Important for bone density and enzymatic reactions.
  • Hypophosphatemia vs. Hyperphosphatemia – Symptoms based on Calcium and Phosphate levels (opposite relationship).
  • Magnesium: 1.3-2.1 mEq/L, related to muscle and nervous system function.
  • Hypomagnesemia vs. Hypermagnesemia – symptoms depend on levels.

Module 2 – Week 2: Pathogens/Immune System

  • Pathogens: Organisms causing disease (Bacteria, Viruses, Protozoa, Fungi, Helminths / Worms).
  • Bacteria shapes: Cocci (spherical), bacilli (rod-shaped), spirilla (spiral-shaped).
  • Most common bacteria: Streptococcus pyogenes, Streptococcus pneumoniae, Escherichia coli
  • Viral infections: Example - Coronaviruses, rhinoviruses, influenza, herpes simplex.
  • Protozoa: Single-celled organisms: Examples – Giardia, malaria, Trichomoniasis, Toxoplasmosis.
  • Fungi: Example - Candida, Tinea.
  • Helminths / Worms: Example - pinworm, tapeworm.
  • Routes of transmission: Aerosol, airborne, droplet, fomite, direct contact, vector, oral, zoonotic.
  • Establishing infection (Steps): Entrance, adherence, colonization, avoid host defenses, create host injury.

Module 2 – Week 2: Immune System/WBC Disorders

  • Primary Lymphoid Organs: Bone Marrow, Thymus, Lymph Nodes/Lymphatics, Spleen.
  • Important roles of these structures in immunity and surveillance.
  • Innate vs Adaptive immunity
  • Types of White Blood Cells: Neutrophils, eosinophils, basophils, monocytes, lymphocytes.
  • Innate and adaptive responses.

Modules 3 - 3, 4, 5, 6, 7, 8, 9, and 10-11

  • The modules cover cell response to injury and cancer, inflammation, pain, neurodegenerative diseases, mental health disorders, renal system, and cardiovascular system.
  • They include discussions of specific diseases, their symptoms, causes, and treatments within these systems.

Module 13 (Oral, Esophageal, Gastric disorders) - 14 & 15

  • Describes topics like oral lesions (candidiasis, HSV-1, stomatitis), hiatal hernia, GERD, esophagitis, Barrett's esophagus, H. Pylori infection, Gastritis, Peptic ulcer disease (PUD), gastric cancer.
  • Includes descriptions of Lower GI disorders (e.g. Gastroenteritis, celiac disease, short bowel syndrome, inflammatory bowel disease), appendicitis, abdominal hernias, bowel obstructions, hemorrhoids.

Module 12 (Respiratory System Intro) - 13 & 14

  • These modules cover the respiratory system and disorders like atelectasis, asthma, bronchitis, COPD, pneumonia, and other respiratory illnesses.
  • They also include discussions on the mechanisms of diffusion, ventilation, and perfusion in the respiratory system.
  • Additional content on specific issues like COVID related pulmonary inflammatory issues and other infectious pulmonary disorders are covered.

Module 11 (Renal Disorders)

  • Topics include kidney function tests, urinalysis, glomerular disorders (nephrotic and nephritic syndromes), acute kidney injury, chronic kidney disease, nephrolithiasis, and specific disorders like bladder cancer.

Module 14 (Male & Female Reproductive System)

  • Covers male reproductive issues like testicular torsion, hydrocele, varicocele, epididymitis, benign prostatic hyperplasia, balanitis, cryptorchidism, and physical/psychological factors related to these conditions.
  • The topics also include female reproductive issues like amenorhea, pelvic inflammatory disease (PID), polycystic ovarian disease (PCOD), ectopic pregnancy. Cervical Cancer.
  • Additional topics in the module include endometriosis, menopause.

Module 7 (Genetics, Inheritance)

  • Discusses components like nucleotide, chromosomes, locus, gene, alleles, and principles of inheritance (autosomal dominant and recessive, and x-linked recessive).
  • Provides examples and explanations of relevant diseases arising from different types of genetic disorders.

Note: This is a very condensed summary and does not include all possible details. Refer to the original document(s) for more specific information and details.

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