29 Questions
Which function partially recovers during the stage of recovery of reflex activity?
Visceral functions
What happens during the stage of recovery of reflex activity after spinal shock?
No recovery of sensations
What is true about voluntary activity during the recovery process?
It remains absent
Which reflex becomes completely automatic during recovery?
Defecation reflex
Which muscle tone returns first during the recovery process?
Flexor muscle tone
What is the role of lateral horn cells during recovery?
Act independently of VMC and send signals to blood vessels
What characterizes the stage of spinal shock?
Loss of voluntary movements
Which of the following is a feature of spinal shock?
Overflow incontinence
What is a common cause of hypotension in spinal shock?
Unopposed vagal tone
Which best describes the effect of spinal cord transection at T1 level?
Hypotension below T1 level
What is the effect on blood pressure if the lesion is above T1?
Severe fall in blood pressure
What is a key aspect of managing spinal shock?
Removing feces with a rectal enema
Which segment of the spinal cord is responsible for diaphragmatic respiration if the lesion is below it?
C5
In paraplegia due to a lesion at T6, which limbs are paralyzed?
Lower limbs
What happens to blood pressure if the lesion is between T6 to sacral segments?
Limited fall in blood pressure
Which condition leads to instantaneous death due to paralysis of all respiratory muscles?
Lesion above C3
What characterizes the stage of spinal shock immediately after a spinal cord injury?
Flaccid paralysis
What is a common symptom seen below the level of a spinal cord lesion?
Profuse sweating
What happens to the lower limbs when extensor muscles are abruptly stretched in a spinal cord injury?
Reflex extension of both lower limbs
When does the knee jerk reflex typically return after a spinal cord injury?
1-5 weeks later than flexor responses
What is a characteristic of the muscle tone in patients experiencing reflex extension of both lower limbs after spinal cord injury?
Increased extensor activity
What is a common consequence of general infection or toxaemia in spinal cord injury patients?
Failure of reflex function
What happens to skin characteristics as spinal cord injury patients recover from reflex failure stage?
Reverting back to normal characteristics
What neurological manifestations did the 25-year-old man exhibit after the stab injury?
Loss of proprioceptive sensations, tactile discrimination, and vibration sensation on the left lower limb; Loss of pain and temperature sensation on the right lower limb
What was the result of the sensory examination on the 25-year-old man's lower limbs?
Loss of proprioceptive sensations, tactile discrimination, and vibration sensation on the left lower limb; Loss of pain and temperature sensation on the right lower limb
In the 50-year-old man with a spinal cord transection at T10 level, what was the immediate effect on the urinary bladder?
Inability to void urine and lack of sensation of bladder fullness
What were the features observed in both lower extremities of the 50-year-old man with a complete spinal cord transection at T10 level?
Complete sensory loss and flaccid paralysis
What were the characteristics of spinal shock experienced by the 50-year-old man with a complete spinal cord transection at T10 level?
Loss of muscle tone and absence of reflexes below the level of injury
How would the features differ if the 50-year-old man with a spinal cord transection at T10 level was examined after 4 months?
Improved muscle tone and return of reflexes below the level of injury
Learn about the different stages of recovery of reflex activity in spinal shock, including muscle tone, visceral functions, and autonomic reflexes. Understand the limitations in sensations and voluntary muscle activity during the recovery process.
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