CRC Medical & Psychosocial Aspects of Disability 2

Question 1

A client with a complete C6 spinal cord injury would most likely retain which functional ability?

Accepted Answer

Wrist extension enabling a tenodesis grasp

Answer

C6 preserves the wrist extensors, which allow a tenodesis grasp, while triceps (C7) and finger flexors (C8) are not preserved.

Question 2

A client with a T4 spinal cord injury suddenly reports a pounding headache, flushing above the injury, and very high blood pressure. What should be done first?

Accepted Answer

Sit the client upright and look for a noxious stimulus such as a full bladder

Answer

Autonomic dysreflexia is a medical emergency in injuries at T6 or above, managed by sitting the person upright and removing the trigger.

Question 3

Which disease course is most common at the initial diagnosis of multiple sclerosis?

Accepted Answer

Relapsing-remitting

Answer

About 85% of people with MS are first diagnosed with a relapsing-remitting course.

Question 4

An employee with MS reports that symptoms get worse in a hot warehouse. Which accommodation best addresses this?

Accepted Answer

Moving to a climate-controlled work area or providing cooling equipment

Answer

Heat sensitivity (Uhthoff's phenomenon) temporarily worsens MS symptoms, so temperature control is the most direct accommodation.

Question 5

The Rancho Los Amigos Levels of Cognitive Functioning scale is mainly used to:

Accepted Answer

Track cognitive and behavioral recovery after a traumatic brain injury

Answer

The Rancho scale describes stages of cognitive and behavioral recovery after a TBI, from no response to purposeful, appropriate behavior.

CRC - Certified Rehab Counselor Practice Test

CRC - Certified Rehab Counselor Practice Test

CRC Medical & Psychosocial Aspects of Disability 2