NM III SCI EXAM QUESTIONS AND
ANSWERS UPDATED (2024/2025)
(VERIFIED ANSWERS)
T/F: Clinical evidence recommends the use of neuroprotective
pharmacologic agents, including steroids, in the treatment of acute SCI in
order to improve functional recovery. - ANS ✓False. No clinical evidence
exists to definitively recommend this. However, there has been a rise in the use of
iced saline (IV)
List commonly used drugs in the acute medical management of SCI. - ANS ✓-
Methyl prednisone
-GM 1
-Gacyclidine
-Tirilazad
-Naloxone
What are the steps to preventing and treating venous thromboembolism. -
ANS ✓-mechanical compression devices
-heparin
-IVC filter
-attached with screws in the head and attached by bars to the vest
a. HALO
b. Minerva/SOMI
c. philadelphia collar - ANS ✓a. HALO
NM III
, 2
NM
Piece that prevents hyperextension and hyperflexion
a. HALO
b. Minerva/SOMI
c. philadelphia collar - ANS ✓b. Minerva/SOMI
-usually worn after HALO or SOMI is removed.
-may don/doff easily
-more comfortable to wear
a. HALO
b. Minerva/SOMI
c. philadelphia collar - ANS ✓c. philadelphia collar
What is the most common orthosis post SCI?
a. TLSO
b. Taylor Knight Brace
c. Jewell Hyperextension Brace
d. LSO - ANS ✓a. TLSO (aka clamshell)
-soft version of TLSO
-more comfortable but doesn't provide same amount of stabilization as
TLSO
a. TLSO
b. Taylor Knight Brace
c. Jewell Hyperextension Brace
d. LSO - ANS ✓B. Taylor Knight Brace
NM III
, 3
NM
-worn when it's okay to extend but surgeon doesn't want them to flex
-may allow a bit of rotation compared to TLSO
a. TLSO
b. Taylor Knight Brace
c. Jewell Hyperextension Brace
d. LSO - ANS ✓c. Jewell
When is surgical management post SCI indicated? - ANS ✓-unstable fx
-fx that will not reduce without surgery
-gross spinal malalignment
-evidence of cord compression
-deteriorating neuro status
T/F: If your patient has a cervical collar or halo, you should not position
them in prone. - ANS ✓True. No prone positioning unless permission from MD.
T/F: If your patient has a cervical collar or halo, they should not lift >10 lbs
unilateral. - ANS ✓False. No lifting >5 lbs unilateral, but can do more bilaterally
(speak with surgeon)
Your patient has a TLSO (T10 and below). What are the recommendations
as far as precautions for your patient? - ANS ✓-no hip flexion past 90 degrees
(sitting in w/c, transfers, or dressing)
-logrolling
-no BLT
Your patient has an LSO. What are the precautions? - ANS ✓-no hip flexion
past 90 degrees
NM III
, 4
NM
-no SLR past 60 degrees
Your patient is tetraplegia or high paraplegic with surgical incision through
traps musculature. What are the precautions? - ANS ✓-no pulling with arms
to roll
-no excessive shoulder protraction/retraction, UE bike, reaching beyond
BOS, push up pressure relief, self ROM or dressing
-no independent transfer w/ or w/o slideboard
-no resistive scapular exercises
-no high level w/c skills
-no long push strokes in w/c (power w/c may be given until rprecautions
are lifted)
You should educate your patient to perform pressure relief in their
wheelchair every ___ min.
a. 5-10
b. 10-15
c. 15-20
d. 20-25 - ANS ✓b. 10-15 min
Levels of injury ___ and above may experience bradyarrhytmias,
hypotension, and OH.
a. C6
b. T2
c. T6
d. T12 - ANS ✓C. T6
Your patient is experiencing OH. What do you do? - ANS ✓-recline them
NM III
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