Medication and Recovery Stages in Spinal Shock

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Which function partially recovers during the stage of recovery of reflex activity?

Visceral functions (correct)

Voluntary muscle control

Sensory perception

Muscle tone and reflexes

What happens during the stage of recovery of reflex activity after spinal shock?

No recovery of sensations (correct)

Improved motor coordination

Complete recovery of voluntary activity

Enhanced sensory perception

What is true about voluntary activity during the recovery process?

It regains partially

It becomes automatic

It remains absent (correct)

It fully regains

Which reflex becomes completely automatic during recovery?

Defecation reflex Signup and view all the answers

Which muscle tone returns first during the recovery process?

Flexor muscle tone Signup and view all the answers

What is the role of lateral horn cells during recovery?

Act independently of VMC and send signals to blood vessels Signup and view all the answers

What characterizes the stage of spinal shock?

Loss of voluntary movements Signup and view all the answers

Which of the following is a feature of spinal shock?

Overflow incontinence Signup and view all the answers

What is a common cause of hypotension in spinal shock?

Unopposed vagal tone Signup and view all the answers

Which best describes the effect of spinal cord transection at T1 level?

Hypotension below T1 level Signup and view all the answers

What is the effect on blood pressure if the lesion is above T1?

Severe fall in blood pressure Signup and view all the answers

What is a key aspect of managing spinal shock?

Removing feces with a rectal enema Signup and view all the answers

Which segment of the spinal cord is responsible for diaphragmatic respiration if the lesion is below it?

C5 Signup and view all the answers

In paraplegia due to a lesion at T6, which limbs are paralyzed?

Lower limbs Signup and view all the answers

What happens to blood pressure if the lesion is between T6 to sacral segments?

Limited fall in blood pressure Signup and view all the answers

Which condition leads to instantaneous death due to paralysis of all respiratory muscles?

Lesion above C3 Signup and view all the answers

What characterizes the stage of spinal shock immediately after a spinal cord injury?

Flaccid paralysis Signup and view all the answers

What is a common symptom seen below the level of a spinal cord lesion?

Profuse sweating Signup and view all the answers

What happens to the lower limbs when extensor muscles are abruptly stretched in a spinal cord injury?

Reflex extension of both lower limbs Signup and view all the answers

When does the knee jerk reflex typically return after a spinal cord injury?

1-5 weeks later than flexor responses Signup and view all the answers

What is a characteristic of the muscle tone in patients experiencing reflex extension of both lower limbs after spinal cord injury?

Increased extensor activity Signup and view all the answers

What is a common consequence of general infection or toxaemia in spinal cord injury patients?

Failure of reflex function Signup and view all the answers

What happens to skin characteristics as spinal cord injury patients recover from reflex failure stage?

Reverting back to normal characteristics Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers