Research Week 2

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Questions and Answers

What is the function of the cerebral spinal fluid mentioned in the passage?

  • To circulate around the brain and spinal cord as a cushion against jolts. (correct)
  • To provide structural support to the brain and spinal cord.
  • To produce nutrients for the central nervous system.
  • To create a barrier against external pathogens.

Which layer covers the outermost part of the spinal cord according to the passage?

  • Dura mater (correct)
  • Arachnoid mater
  • Cerebral spinal fluid
  • Pia mater

Where is cerebral spinal fluid produced according to the passage?

  • Around the outside of the brain stem
  • Through the spinal cord itself
  • Inside the ventricular system in the brain (correct)
  • In the arachnoid mater

Apart from mitigating shocks, what other function does cerebral spinal fluid serve according to the passage?

<p>It offers a nutritive function. (A)</p> Signup and view all the answers

What is the main purpose of reviewing selected concepts in Unit 1.9 for registered respiratory therapists?

<p>To prepare for the clinical research practicum (A)</p> Signup and view all the answers

What is the role of an astrocyte in the central nervous system?

<p>Support and protect neurons (A)</p> Signup and view all the answers

Where are the cardiopulmonary centers located in the brain?

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

What does an increase in intracranial pressure lead to?

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

What are the key components of a neuron?

<p>Cell soma, axon, terminal glutons (C)</p> Signup and view all the answers

Why is it important to understand neurotrauma and neurodegenerative disorders for respiratory therapists entering the Spinal Cord Injury Center?

<p>To understand the impact on breathing due to neurological conditions (C)</p> Signup and view all the answers

What happens if the blood flow through the capillary is significantly reduced for more than four minutes?

<p>Astrocyte swells irreversibly, leading to a condition known as 'no reflow' (D)</p> Signup and view all the answers

What is the role of the pontine respiratory center in the brainstem?

<p>Make ventilation smooth and easy (B)</p> Signup and view all the answers

What does the medulla contain that can increase or decrease the rate of cardiac contraction?

<p>Cardio-inhibitory and cardio-acceleratory centers (B)</p> Signup and view all the answers

What would happen if there is an increase in carbon dioxide levels in the body?

<p>The ventral respiratory group will decrease its rate or depth of contraction (A)</p> Signup and view all the answers

What leads to irreversible changes in the brain if it occurs for more than four minutes?

<p>Cutting off the blood supply to a section of the brain (D)</p> Signup and view all the answers

What is the role of the dorsal respiratory group in the brainstem?

<p>Integrate information about carbon dioxide levels to control breathing (A)</p> Signup and view all the answers

Where is the primary motor cortex located in relation to the primary somatosensory cortex?

<p>In front of it (A)</p> Signup and view all the answers

What is the function of the pontine respiratory center in the brainstem?

<p>Make ventilation smooth and easy (C)</p> Signup and view all the answers

Which part of the brainstem is responsible for increasing or decreasing the rate of cardiac contraction?

<p>Cardio-inhibitory and cardio-acceleratory centers (C)</p> Signup and view all the answers

What is the major influence on the heart, according to the passage?

<p>Influence from the central nervous system (A)</p> Signup and view all the answers

In what kind of injury does the brain hit the posterior aspect of the brain as a result of snapping back inside the cranium?

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

What is the term used to describe a shift in the brain due to an accumulation of blood pushing it to move in certain directions?

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

What can occur if there is long-term compression of the cardiomotor centers inside the brainstem?

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

What can be placed into the skull to monitor changes and potentially decrease intracranial pressure?

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

What is a subdural hematoma?

<p>Accumulation of blood underneath the dura pushing up against the brain (C)</p> Signup and view all the answers

What are the major types of brain trauma shown in the upper left?

<p>Coup injury and contracoup injury (B)</p> Signup and view all the answers

How is a contracoup injury commonly caused?

<p>By rapid forward movement followed by a snap back causing impact to the posterior aspect of the brain (C)</p> Signup and view all the answers

What happens when there's a shift in the brain due to an accumulation of blood pushing it to move in certain directions?

<p>Brain tries to exit through foramen magnum causing compression of the brainstem (B)</p> Signup and view all the answers

What is a potential consequence of intracerebral hematoma?

<p>Changes in astrocyte functionality and neuronal changes (C)</p> Signup and view all the answers

Which protective covering is very closely adherent to the spinal cord?

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

What does ASIA classification denote for individuals with spinal cord injuries?

<p>Levels of injury and impairment (B)</p> Signup and view all the answers

What organelle is responsible for converting the electrical signal into a chemical signal in the form of a neurotransmitter?

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

What happens as the action potential propagates down the axon?

<p>It jumps from one node to the next (C)</p> Signup and view all the answers

What is the function of the myelin surrounding the axon?

<p>To insulate the axon and increase the speed of action potential propagation (C)</p> Signup and view all the answers

What is the primary function of microtubules in the context mentioned in the text?

<p>Serving as a highway for sending neurotransmitter-filled vesicles (A)</p> Signup and view all the answers

What is the role of astrocytes in relation to neurons as described in the text?

<p>Supporting neurons physically and physiologically (C)</p> Signup and view all the answers

What is the primary function of end feet of astrocytes in relation to neurons and capillaries?

<p>Connecting capillaries to neurons and vice versa for oxygen and carbon dioxide exchange (A)</p> Signup and view all the answers

What is the term used to describe the function of astrocytes in protecting neurons from foreign substances?

<p>Blood-brain barrier (D)</p> Signup and view all the answers

What is the significance of astrocytes connecting to capillaries, neurons, and end feet?

<p>Guardian role for delivering oxygen and releasing carbon dioxide (D)</p> Signup and view all the answers

What is indicated by the presence of nodes of Ranvier?

<p>The speed with which the action potential propagates down the axon is increased dramatically (A)</p> Signup and view all the answers

What do microtubules use as a highway for sending neurotransmitter-filled vesicles?

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

What type of paralysis can occur due to lesions in the upper motor neuron?

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

Where do the corticospinal tracts begin?

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

What is the role of the left part of the brain in controlling muscle sets?

<p>Controls muscle sets on the right side of the body (A)</p> Signup and view all the answers

What can occur due to lesions in the upper motor neuron?

<p>Inability to move and ventilate (C)</p> Signup and view all the answers

What is the consequence of both spastic and flaccid paralysis?

<p>Inability to move or ventilate (D)</p> Signup and view all the answers

Where do the corticospinal tracts synapse with fibers present in the spinal cord?

<p>Spinal cord itself (C)</p> Signup and view all the answers

What is the primary function of the phrenic nerve?

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

In the context of spinal cord injuries, at which level would a patient have 50% preservation of diaphragm function?

<p>C4 (D)</p> Signup and view all the answers

What is the significance of the parasympathetic division of the autonomic nervous system in relation to the heart and lungs?

<p>Decreases heart rate and dilates bronchi (C)</p> Signup and view all the answers

What is the normal state of affairs regarding the balance between sympathetic and parasympathetic functions in the autonomic nervous system?

<p>Balanced control between sympathetic and parasympathetic (A)</p> Signup and view all the answers

What happens when fibers coming down from the brain are unable to enter the spinal cord due to a cervical spinal cord injury?

<p>Heart rate increases and bronchi constrict (B)</p> Signup and view all the answers

What occurs if there is a C2 spinal cord injury?

<p>No preservation of diaphragm function (A)</p> Signup and view all the answers

What is the role of sympathetic fibers in the autonomic nervous system?

<p>Increases heart rate and constricts bronchi (D)</p> Signup and view all the answers

What is the primary function of the parasympathetic fibers mentioned in the passage?

<p>Increase airway secretion production (A)</p> Signup and view all the answers

What distinguishes a quadriplegic individual from a paraplegic individual, based on the given passage?

<p>In quadriplegic patients, the lower half and arms are involved, while in paraplegic patients, only the lower half is involved. (A)</p> Signup and view all the answers

Why is there parasympathetic predominance in patients with a cervical spinal cord injury, as per the passage?

<p>Sympathetic influences are blocked (B)</p> Signup and view all the answers

What is the significance of the red areas shown in the figures of the quadriplegic and paraplegic patients?

<p>The red areas represent functional loss in both quadriplegic and paraplegic patients. (B)</p> Signup and view all the answers

What makes working with patients having spinal cord injuries difficult, as mentioned in the passage?

<p>They need to be on the mechanical ventilator until they stabilize (B)</p> Signup and view all the answers

What is the take-home message regarding spinal cord injuries, as mentioned in the passage?

<p>It depends on the type of injury how it affects specific body parts. (A)</p> Signup and view all the answers

What percentage of five-year survival rate is observed in patients weaned from the mechanical ventilator according to the best available scientific literature mentioned in the passage?

<p>84% (A)</p> Signup and view all the answers

What differentiates a paraplegic patient with incomplete spinal cord injury from a paraplegic patient with complete spinal cord injury?

<p>A paraplegic patient with incomplete spinal cord injury has some sparing of sensory or motor function. (D)</p> Signup and view all the answers

Why is weaning from the ventilator particularly important for patients with cervical spinal cord injuries, based on the passage?

<p>To reduce lung problems (B)</p> Signup and view all the answers

What is indicated by the presence of nodes of Ranvier in relation to spinal cord injuries?

<p>Nodes of Ranvier are an indication of potential recovery in spinal cord injuries. (C)</p> Signup and view all the answers

What is the major influence on the heart, as per the passage?

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

What is suggested about the functional loss in quadriplegic and paraplegic patients?

<p>Functional loss affects different body parts in quadriplegic and paraplegic patients. (A)</p> Signup and view all the answers

What type of spinal cord injury is most common, according to the passage?

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

How does the injury type affect the involvement of body parts in paraplegic and quadriplegic individuals?

<p>The type of injury determines whether arms are involved for both paraplegics and quadriplegics. (B)</p> Signup and view all the answers

What is the role of ASIA A classification for individuals with spinal cord injuries, based on the explanation in the passage?

<p>'Complete' injury without any spared area (B)</p> Signup and view all the answers

What is indicated by a paraplegic patient having an incomplete spinal cord injury?

<p>There is potential sparing of sensory or motor function for the patient. (C)</p> Signup and view all the answers

'ASIA C' classification for spinal cord injuries indicates:

<p>'Incomplete' injury with partial involvement (C)</p> Signup and view all the answers

What can be inferred about the worst possible outcome for spinal cord injury as per the passage?

<p>The worst outcome is when there is no involvement of arms along with leg paralysis. (B)</p> Signup and view all the answers

What is a key factor leading to an increase in morbidity and mortality in patients with spinal cord injuries, according to the passage?

<p>Use of mechanical ventilators (B)</p> Signup and view all the answers

What differentiates a quadriplegic patient from a paraplegic patient based on their injuries?

<p>Involvement of arms and legs varies between quadriplegics and paraplegics due to different types of injuries. (C)</p> Signup and view all the answers

What purpose does progressive increase and strength training serve in managing patients with spinal cord injuries, as per the passage?

<p>To optimize muscular function and help recover functionality (D)</p> Signup and view all the answers

What are the key components used clinically for rating a patient's functionality, as mentioned in the passage?

<p>Glasgow Coma scale and ASIA scale (A)</p> Signup and view all the answers

In the context of spinal cord injuries, what causes spastic paralysis?

<p>Loss of control from the brain leading to incessant firing of lower fibers (D)</p> Signup and view all the answers

What is the main cause of flaccid paralysis in the context of spinal cord injuries?

<p>Intact corticospinal fibers with no connection at the level of the spinal cord (B)</p> Signup and view all the answers

What can be inferred about patterns of spinal cord injury from the provided information?

<p>They result in different presentations and patterns for different patients (A)</p> Signup and view all the answers

What causes simultaneous contraction of both the right and left hemidiaphragm during breathing?

<p>Action potentials coming down both the right and left phrenic nerves (B)</p> Signup and view all the answers

What is the primary function of the phrenic nerve in enabling deep breaths?

<p>Innervating the right and left hemidiaphragms (D)</p> Signup and view all the answers

What is indicated by extensive hemorrhaging in the anterior portions of the spinal cord?

<p>Loss of function and severe pathological changes (D)</p> Signup and view all the answers

What is denoted by preserved peripheral parts of the spinal cord in a patient with hemorrhaging in the central part?

<p>Relatively spared damage compared to other areas (C)</p> Signup and view all the answers

What is likely to lead to different preservation of function in patients with spinal cord injuries?

<p>'Patient-specific' injury patterns resulting in different functional preservation (B)</p> Signup and view all the answers

What does it mean if a particular patient's spinal cord shows some hemorrhaging in the central part but relatively preserved peripheral part?

<p>'Patient-specific' injury pattern unique to that patient (B)</p> Signup and view all the answers

What is suggested by three patients with spinal cord injuries having patterns that look different?

<p>Differences in presentation and patterns for different patients (C)</p> Signup and view all the answers

What leads to simultaneous contraction of both right and left hemidiaphragm during breathing?

<p>Action potentials coming down both right and left phrenic nerves (D)</p> Signup and view all the answers

What can be inferred about patterns of spinal cord injury from provided information?

<p>They result in different presentations and patterns for different patients (B)</p> Signup and view all the answers

What is autonomic dysreflexia?

<p>A pathological reflex that occurs in individuals with some types of neurotrauma or neurodegeneration causing a dangerous increase in blood pressure (B)</p> Signup and view all the answers

What triggers autonomic dysreflexia in individuals with spinal cord injuries?

<p>A full bladder sending a stimulus into the spinal cord (C)</p> Signup and view all the answers

What is the result of a full bladder stimulus in individuals with spinal cord injuries?

<p>A massive sympathetic response leading to widespread vasoconstriction and a significant increase in blood pressure (B)</p> Signup and view all the answers

What is the significance of having a team working with patients with autonomic dysreflexia?

<p>To drive the process in a positive direction and prevent deadly complications (D)</p> Signup and view all the answers

Why does autonomic dysreflexia lead to a dangerous increase in blood pressure?

<p>Due to widespread vasoconstriction caused by a massive sympathetic response below the level of injury (C)</p> Signup and view all the answers

What can be inferred about autonomic dysreflexia from the passage?

<p>It can potentially be a deadly complication for patients with neurotrauma or neurodegeneration (C)</p> Signup and view all the answers

What is the primary role of a Neuro RRT?

<p>Designing evidence-based protocols (D)</p> Signup and view all the answers

Why is research considered a central part of a Neuro RTS job description?

<p>To implement evidence-based protocols (A)</p> Signup and view all the answers

What is the significance of the chest optimization protocol for patient recovery?

<p>It plays a vital role before strength and endurance training (C)</p> Signup and view all the answers

Where do veteran patients referred to the Tampa VA primarily come from?

<p>Nationwide community and military referrals (B)</p> Signup and view all the answers

What distinguishes poly trauma from other types of trauma?

<p>Involves trauma to multiple body areas at once (D)</p> Signup and view all the answers

What does it mean if a patient has a C3 Asia A injury?

<p>Complete injury with poor prognosis (B)</p> Signup and view all the answers

What is the major responsibility of an ARTP focusing on neuro respiratory care?

<p>Case management and neuro respiratory rehabilitation (D)</p> Signup and view all the answers

What does the transdisciplinary team do with the scientific literature?

<p>Incorporate findings into protocols (C)</p> Signup and view all the answers

What type of injury is referred to as poly trauma?

<p>Involves trauma to multiple body areas at once (B)</p> Signup and view all the answers

What distinguishes poly trauma from other types of trauma?

<p>Involves trauma to multiple body areas at once (A)</p> Signup and view all the answers

What does it mean if a patient has a C3 Asia A injury?

<p>Complete injury with poor prognosis (A)</p> Signup and view all the answers

What is the major influence on the heart, according to the passage?

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

What is the primary function of microtubules in the context mentioned in the text?

<p>Conducting neurotransmitter-filled vesicles (A)</p> Signup and view all the answers

What occurs if there is a C2 spinal cord injury?

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

What is the role of the left part of the brain in controlling muscle sets?

<p>Coordinating voluntary movements (D)</p> Signup and view all the answers

What is the function of the myelin surrounding the axon?

<p>Speeding up nerve conduction (B)</p> Signup and view all the answers

What causes simultaneous contraction of both the right and left hemidiaphragm during breathing?

<p>Phrenic nerve stimulation (C)</p> Signup and view all the answers

Where do the corticospinal tracts begin?

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

What can be inferred about patterns of spinal cord injury from the provided information?

<p>They are unpredictable (D)</p> Signup and view all the answers

What would happen if there is an increase in carbon dioxide levels in the body?

<p>Increase in respiratory rate (D)</p> Signup and view all the answers

What happens when fibers coming down from the brain are unable to enter the spinal cord due to a cervical spinal cord injury?

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

What is likely to lead to different preservation of function in patients with spinal cord injuries?

<p>Location of injury along the spinal cord (B)</p> Signup and view all the answers

What is the consequence of both spastic and flaccid paralysis?

<p>Loss of voluntary muscle movement (C)</p> Signup and view all the answers

What is the primary purpose of presenting a case study in the medical field?

<p>To provide learning opportunities for the medical team (D)</p> Signup and view all the answers

What is the role of institutional review board (IRB) approval in the context of using patient information?

<p>To ensure ethical use of patient information (E)</p> Signup and view all the answers

What was the title of the case study presented at a summit conference in Jacksonville?

<p>Intensive Neuro-Respiratory Rehabilitation Following Olfactory Sheathing Cell Implantation in Ventilator and Pacer-Dependent Veteran (B)</p> Signup and view all the answers

What type of injury did the 30-year-old Hispanic male sustain during combat?

<p>Cervical vertebrae injury (C)</p> Signup and view all the answers

What medical intervention was performed due to the combat-related injury?

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

In what type of battle situation did the service member sustain the combat-related injury?

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

What is the significance of presenting a case series in addition to individual case studies?

<p>To provide a holistic view of rare medical cases (A)</p> Signup and view all the answers

What is the main purpose of an N-of-1 study or an N-equal-to-1 study?

<p>To provide learning opportunities for the medical team (B)</p> Signup and view all the answers

What is the significance of turning around to reload his gun in relation to the combat-related injury?

<p>It caused a direct impact on the spinal cord (D)</p> Signup and view all the answers

What immediate medical intervention was performed during the combat situation?

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

What is the primary focus of the chest optimization protocol?

<p>Decreasing complications like atelectasis and pneumonia (C)</p> Signup and view all the answers

What is the significance of positioning the patient in Trendelenburg as part of the chest optimization protocol?

<p>It helps in improving surfactant production in the lungs (B)</p> Signup and view all the answers

What does mechanical in-ex ciflation primarily aim to address?

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

Why is chest-vest percussion used with neurological patients?

<p>To remove secretions and aid in suctioning (A)</p> Signup and view all the answers

What is the primary reason for using bed-based thoracic vibration?

<p>To enhance delivery of bronchodilators to basilar alveoli (B)</p> Signup and view all the answers

What is the main purpose of providing resistance and endurance training to patients with cervical spinal cord injury?

<p>To improve the length of spontaneous breathing trials (D)</p> Signup and view all the answers

How does chest optimization fit into the daily regimen for patients with cervical spinal cord injury?

<p>It is at the base of the therapeutic pyramid for therapy implementation (D)</p> Signup and view all the answers

What is the primary reason for using mechanical hyperinflation as part of the protocol?

<p>To decrease mucus plugging and pneumonia (D)</p> Signup and view all the answers

What is the significance of using speed of mobilization as part of the chest optimization protocol?

<p>It helps decrease complications like atelectasis and pneumonia (A)</p> Signup and view all the answers

What is the primary function of airway bronchodilation in the context of the chest optimization protocol?

<p>To address parasympathetic predominance (D)</p> Signup and view all the answers

How does chest optimization contribute to improving cardiopulmonary variables?

<p>By enhancing delivery of bronchodilators to basilar alveoli (B)</p> Signup and view all the answers

What is the primary purpose of using Trundlenburg position in the context of lung hyperinflation?

<p>To assist with thoracodilation in individuals with cervical spinal cord injury (C)</p> Signup and view all the answers

What is the recommended tidal volume for individuals placed on the assist control mode during lung hyperinflation?

<p>15 milliliters per kilogram of body weight (C)</p> Signup and view all the answers

What is the objective of using a small-volume nebulizer along with lung hyperinflation?

<p>To provide bronchodilator effectively to the patient (A)</p> Signup and view all the answers

What physiologic variables can be monitored using volumetric capnography in spinal cord injury patients receiving chest optimization protocol?

<p>Static chest compliance and alveolar tidal volume (C)</p> Signup and view all the answers

What does the two-hour spontaneous breathing trial aim to assess in spinal cord injury patients?

<p>Ability to breathe without mechanical ventilation support (B)</p> Signup and view all the answers

What distinguishes a case study from an experimental study or clinical trial?

<p>It focuses on a single patient's medical case without a control group (D)</p> Signup and view all the answers

What is the main purpose of telling a case study according to the passage?

<p>To observe a single patient's medical case without comparison to a control group (C)</p> Signup and view all the answers

What is the key difference between case studies and experimental studies?

<p>Focus on a single patient's medical case without comparison to a control group (A)</p> Signup and view all the answers

What information can be obtained from volumetric capnography in spinal cord injury patients?

<p>Alveolar tidal volume and cardiac output (B)</p> Signup and view all the answers

What does the postcondition shown in yellow bars in the two-hour spontaneous breathing trial indicate?

<p>An increase in spontaneous breathing ability compared to precondition shown in blue bars (D)</p> Signup and view all the answers

What is the primary function of volumetric capnography in clinical practice, as described in the passage?

<p>To assess respiratory variables such as alveolar tidal volume and static chest compliance (A)</p> Signup and view all the answers

What is the primary function of volumetric capnography as mentioned in the passage?

<p>Assessing pulmonary function (B)</p> Signup and view all the answers

What is the usual destination for service members who need neuro-respiratory rehabilitation, as stated in the passage?

<p>Walter Reed Medical Center (D)</p> Signup and view all the answers

What type of ventilator is mentioned in the passage as being used in Phase I neuro-rehabilitation rehab?

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

Where do individuals generally go if they cannot be stabilized in the MASH unit, according to the passage?

<p>Landstuhl Medical Center (A)</p> Signup and view all the answers

Which medical center is mentioned as a major center in Germany for treating injured service members?

<p>Landstuhl Medical Center (A)</p> Signup and view all the answers

After receiving chest optimization, what other therapeutics did the patient receive, as mentioned in the passage?

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

What is the primary reason for using an abdominal binder in the described protocol?

<p>To increase blood pressure (B)</p> Signup and view all the answers

Why is it important to have a predominance of slow twitch fibers in mechanically ventilated patients?

<p>Because slow twitch fibers are resistant to fatigue (A)</p> Signup and view all the answers

In patients with a C3 complete injury, what percentage of the diaphragm is functional?

<p>25% (D)</p> Signup and view all the answers

What is the main difference between 21st century diaphragmatic pacing and 20th century diaphragmatic pacing?

<p>21st century pacing uses laparoscopic surgery, while 20th century pacing uses open chest surgery (D)</p> Signup and view all the answers

What is the purpose of using a stimulator probe in diaphragmatic implantation?

<p>To map motor points on the underside of the diaphragm (C)</p> Signup and view all the answers

What does the use of laparoscopic surgery allow in diaphragmatic pacing?

<p>Visualizing the underside of the diaphragm during surgery (A)</p> Signup and view all the answers

What is unique about slow twitch fibers in the diaphragm?

<p>They have a high resistance to fatigue (B)</p> Signup and view all the answers

What is indicated by the fact that 21st-century diaphragmatic pacing uses laparoscopic surgery?

<p>It reduces complications and recovery time compared to open chest surgery (D)</p> Signup and view all the answers

What is the primary function of the wire implanted in the musculature during diaphragmatic pacing?

<p>It contracts the diaphragm by shooting electrical impulses (D)</p> Signup and view all the answers

Why is it difficult for individuals with a C3 complete injury to ventilate?

<p>Because only about 25% of their diaphragm is functional (D)</p> Signup and view all the answers

What is the main purpose of using an electrode with a hemostat-like device during laparoscopic diaphragmatic pacing?

<p>To go up to the underside of the diaphragm and test for motor points (C)</p> Signup and view all the answers

What is the significance of maintaining normal blood pressure in individuals with spinal cord injuries?

<p>It addresses a common problem associated with spinal cord injuries (C)</p> Signup and view all the answers

What type of statistics are used to make inferences about group means?

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

In a double blind study, who is/are unaware of the intervention that the patients are receiving?

<p>Both the researchers and the patients (D)</p> Signup and view all the answers

What does a p-value of less than or equal to 0.05 indicate?

<p>The experimental outcome is statistically significant (A)</p> Signup and view all the answers

What is the main purpose of an experimental design?

<p>To determine how to extract information (B)</p> Signup and view all the answers

In an experimental group and a control group, why is it important for them to be very similar?

<p>To minimize bias in the study (B)</p> Signup and view all the answers

What does the term 'mean' represent in statistics?

<p>The average of a group of scores (A)</p> Signup and view all the answers

What does standard deviation measure in statistics?

<p>The spread of scores around the mean (B)</p> Signup and view all the answers

What is the primary goal of using a representative sample in statistical analysis?

<p>To generalize from a small sample to a larger population (B)</p> Signup and view all the answers

What does a single blind study typically involve?

<p>Researchers not knowing patients' interventions (D)</p> Signup and view all the answers

What is the primary role of a registered respiratory therapist in the context of the given passage?

<p>Connecting and setting the parameters for a diaphragmatic pacer (A)</p> Signup and view all the answers

What is the significance of the mucosa from the cribriform plate in the experimental procedure described in the passage?

<p>It contains special nerve cells that can be transplanted into the spinal cord (B)</p> Signup and view all the answers

What is the objective of using the Erigo machine in the patient's rehabilitation?

<p>To improve motor and sensory function after stem cell implantation (C)</p> Signup and view all the answers

What is the role of astrocytes in relation to neurons as described in the passage?

<p>They provide physical and physiological support for neurons (C)</p> Signup and view all the answers

What can be inferred about the patient's rehabilitation regimen based on the provided information?

<p>It aims to improve both motor and sensory function after stem cell implantation (B)</p> Signup and view all the answers

What happens when olfactory sheathing cells are transplanted into the spinal cord, based on the information in the passage?

<p>They stimulate the growth of myelin sheaths around damaged nerves (C)</p> Signup and view all the answers

What is the key purpose of utilizing spring-loaded valves in strength training for patients with spinal cord injuries?

<p>To provide resistance and endurance training (C)</p> Signup and view all the answers

What is a potential outcome of transplanting olfactory sheathing cells into the spinal cord?

<p>Promotion of neurological improvement and nerve repair (A)</p> Signup and view all the answers

What distinguishes an Erigo machine from a robotic walking machine?

<p>The focus on improving motor and sensory function after stem cell implantation (C)</p> Signup and view all the answers

What is one of the key tasks of a registered respiratory therapist regarding the diaphragmatic pacer?

<p>Setting parameters such as rate and tidal volume for the pacer (C)</p> Signup and view all the answers

What is the objective of using spring-loaded valves during strength training for patients with spinal cord injuries?

<p>To offer resistance and endurance training (A)</p> Signup and view all the answers

What role does a registered respiratory therapist play in managing patients on a diaphragmatic pacer?

<p>Setting parameters and managing patient while on the pacer (C)</p> Signup and view all the answers

What was the reason for undertaking the study mentioned in the passage?

<p>To determine the impact of body positioning on the patient's ability to do a spontaneous breathing trial (A)</p> Signup and view all the answers

What is the independent variable in the study mentioned in the passage?

<p>Body positioning (Kronenberg or Supine) (D)</p> Signup and view all the answers

Why is the independent variable referred to as 'independent'?

<p>Because it is manipulated and controlled by the researchers (C)</p> Signup and view all the answers

What is the dependent variable in the study mentioned in the passage?

<p>Spontaneous breathing trial duration (A)</p> Signup and view all the answers

What was the hypothesis for this study, as mentioned in the passage?

<p>Trindelenburg position would be associated with a longer spontaneous breathing trial duration (C)</p> Signup and view all the answers

What was the reason for conducting spontaneous breathing training in an upright position?

<p>To standardize the training procedure across both experimental groups (B)</p> Signup and view all the answers

What are the components of chest optimization protocol, as mentioned in the passage?

<p>Body positioning, immobilization, airway bronchodilation, and mechanical hyperinflation (A)</p> Signup and view all the answers

Why was it important to control for other variables in the experimental design?

<p>To minimize the impact of confounding variables on the study outcomes (D)</p> Signup and view all the answers

What was the primary goal of placing patients in either Kronenberg or Supine positions?

<p>To investigate the impact of body positioning on spontaneous breathing trials (D)</p> Signup and view all the answers

What was discussed in the introduction to the scientific article mentioned in the passage?

<p>All information presented on the slide (D)</p> Signup and view all the answers

What do we know about chest optimization from previous exposure, as per the passage?

<p>It consists of body positioning, immobilization, airway bronchodilation, and mechanical hyperinflation. (A)</p> Signup and view all the answers

What is the distinctive feature of a randomized control trial, as mentioned in the passage?

<p>It involves comparing the experimental group against the control group (C)</p> Signup and view all the answers

What is the role of the null hypothesis in experimental research?

<p>To reject any difference between group means until proven otherwise (B)</p> Signup and view all the answers

Why is it necessary to have a control group in a randomized control trial?

<p>To improve confidence in detecting differences between groups (C)</p> Signup and view all the answers

In a randomized control trial, what is typically used as the first test to compare means of two groups?

<p>T-test (D)</p> Signup and view all the answers

What type of approval is required before conducting a study as described in the passage?

<p>Approval from multiple institutional review boards (C)</p> Signup and view all the answers

What is the primary reason for placing the individual on a mechanical ventilator at night in the case study?

<p>To provide rest to the diaphragm after using diaphragmatic pacer throughout the day (A)</p> Signup and view all the answers

What is the function of the diaphragmatic pacer mentioned in the case study?

<p>To mimic natural breathing by stimulating the diaphragm muscles (B)</p> Signup and view all the answers

Why is it important to include specific information in a case study or journal article before publication, according to the passage?

<p>To provide relevant details for replication and understanding of the study (B)</p> Signup and view all the answers

What is a key reason for using a t-test as the first statistical analysis in a randomized control trial?

<p>To determine if there's a statistically significant difference between means of two groups (B)</p> Signup and view all the answers

What distinguishes a randomized control trial from other types of studies, according to the passage?

<p>It compares an experimental group with a non-treatment control group (A)</p> Signup and view all the answers

Why is it essential to have both an experimental group and a control group in a randomized control trial?

<p>To improve confidence in detecting differences between groups (D)</p> Signup and view all the answers

What distinguishes a null hypothesis from an alternative hypothesis in experimental research?

<p>The null hypothesis assumes no difference until proven otherwise, while alternative hypothesis assumes there's always a significant difference (D)</p> Signup and view all the answers

What type of study is described based on the gathering of data as the study proceeds?

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

What is the classification of the group of individuals before they were assigned to their respective groups?

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

What is the term used for a study that involves collecting patients together, assigning them, having them go through the experiment, and collecting the data?

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

What is the term for the individuals who received documentation from the institutional review board and decided to participate in the study?

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

What is the name for the method where each individual in the database gave informed consent and received documentation from the institutional review board?

<p>Informed consent process (B)</p> Signup and view all the answers

What is the term used for the process of stratifying individuals according to specific criteria before conducting a study?

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

What is the main difference between position one and position two in the ventilator circuit diagram for the different types of nebulizers?

<p>Position one has a higher pressure than position two, allowing for better atomization of the medications (D)</p> Signup and view all the answers

What is the main purpose of using a Fischer-Picot heater in the test lung setup?

<p>To warm and humidify the air before it enters the mechanical circuit (D)</p> Signup and view all the answers

What is the significance of having different types of nebulizers strategically placed along the mechanical circuit?

<p>It enables customization of medication delivery based on patient's specific needs (B)</p> Signup and view all the answers

What role do the filters play in the test lung setup?

<p>To remove particulate matter from the inhaled air before it enters the mechanical circuit (C)</p> Signup and view all the answers

What is a retrospective study?

<p>A study that looks at information already present, like in a patient's chart (D)</p> Signup and view all the answers

In the context of experimental designs, what does it mean when individuals are allowed to cross over?

<p>They are exposed to both types of interventions during the course of the study (B)</p> Signup and view all the answers

What were the statistical analyses used in the study mentioned in the passage?

<p>Repeated measures analysis of variance, multiple linear regression analyses, and paired t-test (A)</p> Signup and view all the answers

What is the fundamental function of the NM3 device mentioned in the passage?

<p>To generate volumetric capnogram by combining N-tidal CO2 signal with airflow signal (A)</p> Signup and view all the answers

What is the primary purpose of using Trundlenburg position in the context of lung hyperinflation?

<p>To facilitate chest optimization protocol (B)</p> Signup and view all the answers

What does it mean if patients were deemed ready, willing, and able to undertake a two-hour spontaneous breathing trial?

<p>Patients had the potential to make it to the two-hour mark and were considered ready to do so (B)</p> Signup and view all the answers

What physiologic variables can be measured using volumetric capnography?

<p>Cardiopulmonary variables such as static compliance and alveolar metabolic volume (C)</p> Signup and view all the answers

'ASIA C' classification for spinal cord injuries indicates:

<p>Incomplete injury with motor function preserved below the neurological level and at least half of key muscles below the neurological level having a muscle grade less than 3 (A)</p> Signup and view all the answers

What is likely to lead to different preservation of function in patients with spinal cord injuries?

<p>Varying degrees of compression on the spinal cord (C)</p> Signup and view all the answers

What type of statistical analysis was performed on the data for the post-CRP research skill scores?

<p>Analysis of variance (C)</p> Signup and view all the answers

What is the significance of a p-value of less than 0.001 in the context of the research findings?

<p>The findings are statistically significant (A)</p> Signup and view all the answers

What is a requirement for performing a t-test?

<p>Mean and standard deviation (C)</p> Signup and view all the answers

Why was an analysis of variance performed instead of a t-test for the post-CRP research skill scores?

<p>There were three or more groups in the data (D)</p> Signup and view all the answers

What does the p-value provide insight into in statistical analysis?

<p>The likelihood of obtaining the observed results by chance (C)</p> Signup and view all the answers

What do descriptive statistics typically include?

<p>Mean and standard deviation (B)</p> Signup and view all the answers

How did the online cohort's acquisition of skills compare to the on-site cohort's in the research findings?

<p>On-site cohort performed better (A)</p> Signup and view all the answers

What was the main focus of the changes made in the educational program based on the research findings?

<p>Addressing skill level deficiencies in on-site cohort (A)</p> Signup and view all the answers

What is required for performing a t-test?

<p>Mean and standard deviation (A)</p> Signup and view all the answers

What does a p-value of less than 0.001 indicate about the research findings?

<p>They are statistically significant (D)</p> Signup and view all the answers

What type of statistical analysis is suitable when there are three or more groups?

<p>Analysis of variance (A)</p> Signup and view all the answers

What does a p-value provide insight into in statistical analysis?

<p>Likelihood of obtaining observed results by chance (C)</p> Signup and view all the answers

What is the primary focus of the Clinical Research Practicum at Hillsborough Community College?

<p>Training students in evidence-based protocols for ventilator-dependent patients (C)</p> Signup and view all the answers

What is the purpose of using the NM3 monitor in the Clinical Research Practicum?

<p>To measure physiologic variables of patients on a mechanical ventilator with ALS (A)</p> Signup and view all the answers

What role do clinical educators play in the research process at Hillsborough Community College?

<p>Imparting knowledge to students based on research findings (B)</p> Signup and view all the answers

What is the significance of using the statistical package SPSS 27 in educational research?

<p>To mine for data to understand perspectives in educational practice (C)</p> Signup and view all the answers

What was the outcome of the natural experiment that occurred at Hillsborough Community College?

<p>The improvement in the clinical rehabilitation program (D)</p> Signup and view all the answers

What is one of the major components of the Clinical Research Practicum at Hillsborough Community College?

<p>Training students in evidence-based protocols for ventilator-dependent patients (A)</p> Signup and view all the answers

What is the objective of using the NM3 monitor in the Clinical Research Practicum?

<p>To measure physiologic variables of patients on a mechanical ventilator with ALS (A)</p> Signup and view all the answers

What role do students play in using the NM3 monitor during the Clinical Research Practicum?

<p>Measuring physiologic variables of patients on a mechanical ventilator with ALS (C)</p> Signup and view all the answers

What distinguishes the role of clinical educators from that of clinical researchers at Hillsborough Community College?

<p>Imparting knowledge to students based on research findings (B)</p> Signup and view all the answers

What was one of the key contributions toward establishing the Clinical Research Practicum at Hillsborough Community College?

<p>The partnership with the HCC Foundation (D)</p> Signup and view all the answers

What is one of the primary outcomes of conducting clinical research at Hillsborough Community College?

<p>The improvement in the clinical rehabilitation program (B)</p> Signup and view all the answers

What is one of the key components of conducting research as an educator at Hillsborough Community College?

<p>Imparting knowledge to students based on research findings (B)</p> Signup and view all the answers

What is the purpose of having 12 individuals go through the supine position in the study mentioned in the passage?

<p>To increase the total number of participants in the study (C)</p> Signup and view all the answers

Why was it important to change the translucent screen to an opaque screen during the data acquisition process?

<p>To prevent experimental bias from affecting the data collection process (B)</p> Signup and view all the answers

What is the significance of the cardiac output differences between the group placed in trendomper and the group placed in supine after chest optimization?

<p>Trendomper had a statistically significant increase in cardiac output compared to supine (A)</p> Signup and view all the answers

What can be inferred about the alveolar minute volume based on the data presented?

<p>Trendomper resulted in a much greater alveolar minute volume compared to supine (C)</p> Signup and view all the answers

What is the significance of the differences in spontaneous breathing trial duration between trendomper and supine?

<p>Trendomper resulted in a statistically significant longer spontaneous breathing trial duration compared to supine (A)</p> Signup and view all the answers

What can be inferred about the impact of chest optimization in trendomper on spontaneous breathing trial duration?

<p>Chest optimization in trendomper significantly increased spontaneous breathing trial duration (A)</p> Signup and view all the answers

What is indicated by a t-test probability value of 0.0001 for the differences in spontaneous breathing trial duration?

<p>The differences are statistically significant (B)</p> Signup and view all the answers

What is the main reason for considering this information from a randomized control trial?

<p>To assess the impact of different positions on physiological variables (C)</p> Signup and view all the answers

Why is it important for researchers to acknowledge that things don't go perfectly in research?

<p>To manage expectations about research outcomes (A)</p> Signup and view all the answers

What is suggested by the fact that there was virtually no difference between the groups at the beginning of the experiment?

<p>Effective randomization and stratification of participants (A)</p> Signup and view all the answers

Flashcards

Cerebral Spinal Fluid (CSF) Function

Cushions the brain and spinal cord against jolts and provides a nutritive function.

Dura Mater

The outermost layer covering the spinal cord.

CSF Production Site

Inside the ventricular system in the brain.

Review Purpose (Unit 1.9)

To prepare for the clinical research practicum.

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Astrocyte Role

Supports and protects neurons in the central nervous system.

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Cardiopulmonary Center Location

Brainstem

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Increased Intracranial Pressure Result

Intracranial pathology

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Neuron Components

Cell soma, axon, terminal boutons

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Neurotrauma Understanding Importance

To understand the impact on breathing due to neurological conditions.

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Reduced Capillary Blood Flow Consequence

Astrocyte swells irreversibly, leading to 'no reflow'.

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Pontine Respiratory Center Role

Makes ventilation smooth and easy.

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Medulla's Cardiac Control

Cardio-inhibitory and cardio-acceleratory centers.

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Increased CO2 Levels Effect

The ventral respiratory group will decrease its rate or depth of contraction.

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Irreversible Brain Changes Cause

Cutting off the blood supply to a section of the brain.

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Dorsal Respiratory Group Role

Integrates information about carbon dioxide levels to control breathing.

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Primary Motor Cortex Location

In front of it.

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Major Heart Influence

Influence from the central nervous system.

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Brain 'Snap Back' Injury

Contracoup injury.

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Brain Shift Term

Brain herniation

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Long-Term Cardiomotor Compression

Cardiac arrest

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Intracranial Pressure Reduction Tool

Monitors

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Subdural Hematoma

Accumulation of blood underneath the dura pushing up against the brain.

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Major Types of Brain Trauma

Coup injury and contracoup injury

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Contracoup Injury Cause

By rapid forward movement followed by a snap back causing impact to the posterior aspect of the brain.

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Brain Shift Consequence

Brain tries to exit through foramen magnum causing compression of the brainstem.

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Intracerebral Hematoma Consequence

Changes in astrocyte functionality and neuronal changes

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Protective Covering Closely Attached to the Cord

Pia mater

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ASIA Classification

Levels of injury and impairment

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Electrical-Chemical Signal Conversions

Golgi apparatus

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Action Potential Propagation

It jumps from one node to the next

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Related Documents

Research Week 2 Part 1.docx
Research Week 2 Part 2.docx
Research Week 2 Part 3.docx
Research Week 2 Part 4.docx
Research Week 2 Part 5.docx
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