Medication and Recovery Stages in Spinal Shock
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Questions and Answers

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?

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

Which muscle tone returns first during the recovery process?

<p>Flexor muscle tone (B)</p> Signup and view all the answers

What is the role of lateral horn cells during recovery?

<p>Act independently of VMC and send signals to blood vessels (C)</p> Signup and view all the answers

What characterizes the stage of spinal shock?

<p>Loss of voluntary movements (B)</p> Signup and view all the answers

Which of the following is a feature of spinal shock?

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

What is a common cause of hypotension in spinal shock?

<p>Unopposed vagal tone (A)</p> Signup and view all the answers

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

<p>Hypotension below T1 level (B)</p> Signup and view all the answers

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

<p>Severe fall in blood pressure (C)</p> Signup and view all the answers

What is a key aspect of managing spinal shock?

<p>Removing feces with a rectal enema (D)</p> Signup and view all the answers

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

<p>C5 (C)</p> Signup and view all the answers

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

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

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

<p>Limited fall in blood pressure (A)</p> Signup and view all the answers

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

<p>Lesion above C3 (A)</p> Signup and view all the answers

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

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

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

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

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

<p>Reflex extension of both lower limbs (D)</p> Signup and view all the answers

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

<p>1-5 weeks later than flexor responses (D)</p> 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?

<p>Increased extensor activity (B)</p> Signup and view all the answers

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

<p>Failure of reflex function (A)</p> Signup and view all the answers

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

<p>Reverting back to normal characteristics (C)</p> Signup and view all the answers

What neurological manifestations did the 25-year-old man exhibit after the stab injury?

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

What was the result of the sensory examination on the 25-year-old man's lower limbs?

<p>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 (D)</p> 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?

<p>Inability to void urine and lack of sensation of bladder fullness (A)</p> 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?

<p>Complete sensory loss and flaccid paralysis (C)</p> 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?

<p>Loss of muscle tone and absence of reflexes below the level of injury (D)</p> 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?

<p>Improved muscle tone and return of reflexes below the level of injury (D)</p> Signup and view all the answers

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