Rehabilitation Management of Secondary Skeletal Conditions
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Questions and Answers

What is the most common site for heterotopic ossification formation following a spinal cord injury?

  • Knees
  • Hips (correct)
  • Shoulders
  • Elbows

Which clinical presentation is indicative of heterotopic ossification?

  • Joints/muscle pain without sensation (correct)
  • Reduced tissue swelling
  • Gradual increase in PROM
  • High-grade fever

What is the most impactful factor for developing heterotopic ossification?

  • Complete pneumonia
  • Pressure ulcers
  • Smoking
  • Urinary tract infections (correct)

Which medication is commonly used for prophylactic treatment of heterotopic ossification within 3 weeks after spinal cord injury?

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

What is the recommended timeframe for the most effective use of bisphosphonates to slow or halt the progression of heterotopic ossification?

<p>3-6 weeks after injury (A)</p> Signup and view all the answers

Which of the following factors contributes to the development of osteoporosis or osteopenia as a secondary complication in spinal cord injuries?

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

What intervention is recommended to reduce the risk of urinary dysfunction in spinal cord injury patients?

<p>Functional mobility training (A)</p> Signup and view all the answers

What percentage of trauma spinal cord injury patients are affected by urinary dysfunction due to neurogenic bladder?

<p>80% (C)</p> Signup and view all the answers

What is one of the impacts of poor voiding control in spinal cord injury patients?

<p>Increased risk of kidney failure (C)</p> Signup and view all the answers

What is a recommended method to assess bowel and bladder control in spinal cord injury patients?

<p>Voluntary anal contraction checks (A)</p> Signup and view all the answers

Which of the following is a benefit of clean intermittent catheterization (CIC) for managing urinary output in medically stable spinal cord injury patients?

<p>Decreased healthcare costs (A)</p> Signup and view all the answers

How do hydrophilic coated catheters contribute to managing urinary issues in spinal cord injury patients?

<p>Decrease the incidence of UTIs (B)</p> Signup and view all the answers

What are common complications for individuals with spinal cord injury (SCI) according to the text?

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

What is a factor that increases the chances of developing neuropathic pain in SCI patients?

<p>Light touch vs pin prick discrepancy (A)</p> Signup and view all the answers

Which of the following is NOT listed as a cardiometabolic disease associated with SCI in the text?

<p>Type 1 diabetes (A)</p> Signup and view all the answers

What is the immediate impact of SCI on autonomic function according to the text?

<p>Higher chance of hypercholesterolemia (B)</p> Signup and view all the answers

In SCI management, what is recommended as a last resort for cardiometabolic health promotion?

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

What is the key recommendation for diagnosing cardiometabolic syndrome according to the text?

<p>$3$ or more of abdominal obesity, insulin resistance, dyslipidemia, and low-density lipoproteins development (B)</p> Signup and view all the answers

What is the primary reason why individuals with spinal cord injuries (SCI) are predisposed to an imbalance between osteoclast and osteoblast activity?

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

What percentage of bone loss occurs in the acute and subacute phases after a spinal cord injury (SCI)?

<p>1% bone loss per week (D)</p> Signup and view all the answers

Which type of bone is primarily targeted by osteoporosis in individuals with SCI?

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

What is the most common location for pressure ulcers in the acute care setting for individuals with SCI?

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

What factor significantly increases the risk of fragility fractures occurring spontaneously or after minor trauma in SCI patients?

<p>Decreased bone density at femur and tibia (A)</p> Signup and view all the answers

Which condition poses the most significant hindrance in individuals with SCI, leading them to experience complications like hospitalization, infections, and even death?

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

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