Several months ago, a 20-year-old male suffered a spinal cord ...

[Mr.Thesaxman]

Several months ago, a 20-year-old male suffered a spinal cord injury brought about by a snowboard trick gone wrong. The lasting effects of his injury include a flaccid bowel and bladder and the inability to obtain an erection.
 
  While sensation has been completely preserved in his legs and feet, his motor function is significantly impaired. What type of incomplete spinal cord injury has the man most likely experienced?
  A)
  Anterior cord syndrome
  B)
  Brown-Squard syndrome
  C)
  Central cord syndrome
  D)
  Conus medullaris syndrome

Question 2

Which of the following clients may be experiencing a sensory focal seizure that has sent an abnormal cortical discharge to the autonomic nervous system (ANS)?
 
  A)
  A 44-year old patient complaining of constant movement and pain in the legs that gets worse when he tries to sleep
  B)
  An 85-year-old patient experiencing drooping of the right side of the face and numbness in the right arm and leg
  C)
  A 56-year-old complaining of tingling sensations and has both an elevated pulse and BP
  D)
  A 22-year-old complaining of a stiff neck and achiness, along with some nausea and vomiting

[wshriver]

Answer to Question 1

Ans:
D

Feedback:

Functional deficits resulting from conus medullaris syndrome usually result in flaccid bowel and bladder and altered sexual function. Sacral segments occasionally show preserved reflexes if only the conus is affected. Motor function in the legs and feet may be impaired without significant sensory impairment. Anterior cord syndrome and Brown-Squard syndrome include a loss of pain and temperature sensation, while central cord syndrome manifests in spastic paralysis and is more common among older adults.

Answer to Question 2

Ans:
C

Feedback:

Sensory symptoms correlate with the location of seizure activity on the contralateral side of the brain and may involve somatic sensory disturbance (tingling). With abnormal cortical discharge stimulating ANS, tachycardia, diaphoresis, hypo- or hypertension, or papillary changes may be evident. Distracter A is associated with restless legs syndrome (RLS). Distracter B is associated with stroke (CVA). Distracter D is associated with meningitis.

[Mr.Thesaxman]

Thank you

[wshriver]

Happy to help you