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NPTE Neuromuscular

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Question
Answer
show disruption/tearing of axions and small blood vessels from shear strain of angular acceleration  
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show contusions, lac, mass effect from hemorrhage and edema  
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show injury at point of impact and opposite side of impact  
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show systemic problems that compromise cerebral circulation  
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show concussion  
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show momentary LOC, maybe retrograde amnesia  
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Classic concussion   show
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show LOC for >24hr, diffuse axonal injury & coma  
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Glasgow Coma Scale   show
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Primary injury in SCI   show
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show ischemia, edema, demyelination, necrosis of axons, progressing to scar tissue formation  
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show indicates most distal uninvolved nerve root segment with normal function (3+/5)  
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show C1-C8, all extremities and trunk  
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Paraplegia   show
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Complete SCI   show
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Incomplete SCI   show
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ASIA A   show
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show Incomplete, sensory but not motor fxn preserved below level and includes S4-5  
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ASIA C   show
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show Incomplete, motor fxn preserved below level, most key muscles below level have grade > or = 3/5  
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ASIA E   show
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show loss of motor, pain, temperature. Preserved light touch, proprioception, position sense  
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Brown-Sequard syndrome   show
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Central cord syndrome   show
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show below L1. Sensory loss and paralysis with some capacity for regeneration. LMN. Autonomous or nonreflex bladder.  
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Sacral sparing   show
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Respiratory insufficiency or failure occurs in lesions above   show
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show transient period of reflex depression and flaccidity, hours up to 24wk  
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Autonomic dysreflexia   show
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Immediate tx for Autonomic dysreflexia   show
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show electric W/C, tilt in space, microswitch or puff&sip, respirator can be attached  
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W/C for C5   show
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show Has radial wrist extensors. Manual w/c with friction hand rims, independent  
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W/C for C7   show
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W/C for C8-T1 and below   show
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Amb/orthotics for T6-9   show
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Amb/orthotics for T12-L3   show
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Amb/orthotics for L4-5   show
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CV endurance training precautions with SCI   show
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show Autonomic dysreflexia, skin infected, hypotension, UTI, uncontrolled spasticity or pain, unstable Fx, hot/humid environ  
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