quiz #1 – spina bifida

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quiz #1 – spina bifida
2011-02-19 19:19:29
clinical neurology

clinical neurology
Show Answers:

  1. what do the words Spina bifida mean?
    Spina – spine

    bifida – two parts or split
  2. what causes spina bifida?
    People may be pre-disposed genetically but there has been no gene identified that causes spina bifida
  3. what are the three types of spina bifida?
    • spina bifidaocculta
    • meningocele
    • Meningomyelocele
  4. what is the least serious type of spina bifida
    spina bifida occulta
  5. what is the worst type of spina bifida
  6. what percent of the population has spina bifida occulta
  7. why is spina bifida meningomyelocele so serious
    because the spinal cord has moved into the pouch
  8. true or false – spina bifida occulta the patient will demonstrate no neurological deficits
  9. what is a pilonidal cyst
    a cyst that occurs in spina bifida occulta that may or may not have a patch of hair
  10. after how many days will the neural tube close after conception
  11. what does the neural tube form
    the spinal cord
  12. the neural tube closes from _______ to__________
    top to bottom– the lumbar spine typically has the problems and failure to close
  13. where is the most common site for spina bifida
    the lumbosacral cord
  14. what is the occurrence of spina bifida out of every 1000 people
  15. what is the cause of spina bifida

    Three things
    causes by combination of genetic predisposition, diet, and environment
  16. what are two ways that spina bifida may be diagnosed before the infant is born

    Alpha fetal protein- blood is withdrawn from the mother to test for this protein, if it is found the fetus has spina bifida. The protein comes from the fetus
  17. hydrocephalus occurs in what percent of babies with meningomyelocele
  18. how is hydrocephalus corrected
    is corrected with a shunt
  19. true or false – hydrocephalus can cause swelling in the ventricles of the brain
  20. do shunts ever need to be replaced
  21. name some of the neurological deficits of meningomyelocele at L1 – L2
    • paralysis of the hip extensors and abductor's
    • fair hip abductors
    • contractures of the hip and flex – abduction – external rotation
    • knee flexion contracture
    • loss of sensation in legs
    • incontinence of bowels and bladder
    • possible learning disability – not sure why
  22. what are some of the orthopedic problems of meingomyelocele
    • scoliosis – lordosis
    • fractures
    • hip dislocation – hip dysplasia
    • deformities from contractures – no extension
  23. true or false – it is important for kids with spina bifida to be on their feet at an early age
  24. true or false – it is important for adults with spina bifida to be on their feet
    false – it is recommended but not as important as children with spina bifida to be on their feet