USAHS CONDITIONS EXAM 2
COMPREHENSIVE EXAMINATION TEST
2026 FULL QUESTIONS AND CORRECT
ANSWERS
◉Functional Expectation C4. Answer: Respiratory: may be able to
breathe without a ventilator.
ADLs: Dependent
Wheelchair mobility: power wheelchair with alternative control --
IND. manual wheelchair -- dependent tilt in space wheelchair.
◉Therapy focus C1 -- C4. Answer: Patient education: teaching
patient how to direct their own care.
Caregiving training: training others the proper techniques for
dressing, hygiene, wheelchair positioning and maintenance.
Ordering appropriate equipment and training patient and
caregivers.
◉Injury Level C5. Answer: Functionally relevant muscles innervated:
deltoid, biceps, brachialis, brachioradialis, rhomboids, serratus
anterior (partially innervated).
,Movement possible: shoulder flexion, abduction, and extension;
elbow flexion and supination; scapular adduction and abduction.
Patterns of weakness: absence of elbow extension, pronation, all
wrist and hand movement. Total paralysis of trunk and lower
extremities.
◉Functional Expectation C5. Answer: Respiratory: may require
assist to clear secretions.
ADLs:
- Feeding: setup.
- Grooming: partial to total assist
- Dressing: UE: partial assist. LE: total assist.
- Toileting: total assist
- Bathing: total assist
Wheelchair mobility:
- Power wheelchair likely for community mobility.
- Manual wheelchair: some may require self-propel custom manual
wheelchair on level surfaces. Some require total assist outdoors.
- Transportation: Some may drive vehicle IND with highly
specialized equipment. Most remain in wheelchair as passenger
with a wheelchair tie down system.
, ◉Injury Level C6. Answer: Functionally relevance muscles
innervated: clavicular pectoralis supinator, EXRB and L; serratus
anterior; latissimus dorsi.
Movement possible: scapular protractor; some horizontal adduction,
forearm supination, radial wrist extension.
Patterns of weakness: absence of wrist flexion, elbow extension,
hand movement, total paralysis of trunk and lower extremities.
Important concept for C6:
- Tenodesis Grip: Stretching -- don't overstretch flexor tendons.
Splinting -- maintain thumb opposition.
◉Functional Expectation C6. Answer: ADLs:
- Feeding: setup to IND
- Grooming: partial assist to IND
- Dressing: UE: IND. LE: partial assist (some may achieve IND)
- Bowel management: partial assist (some may achieve IND)
-Bladder management: partial assist (some may achieve IND)
-Bathing: Upper body: IND. Lower body: partial assist (some may
achieve IND)
- Wheelchair mobility: power wheelchair: IND. Manual wheelchair:
partial assist to IND with custom setup.
- Transportation: independent driving: may transfer or drive from
wheelchair (some can independently load and unload a manual
wheelchair to/from vehicle)
COMPREHENSIVE EXAMINATION TEST
2026 FULL QUESTIONS AND CORRECT
ANSWERS
◉Functional Expectation C4. Answer: Respiratory: may be able to
breathe without a ventilator.
ADLs: Dependent
Wheelchair mobility: power wheelchair with alternative control --
IND. manual wheelchair -- dependent tilt in space wheelchair.
◉Therapy focus C1 -- C4. Answer: Patient education: teaching
patient how to direct their own care.
Caregiving training: training others the proper techniques for
dressing, hygiene, wheelchair positioning and maintenance.
Ordering appropriate equipment and training patient and
caregivers.
◉Injury Level C5. Answer: Functionally relevant muscles innervated:
deltoid, biceps, brachialis, brachioradialis, rhomboids, serratus
anterior (partially innervated).
,Movement possible: shoulder flexion, abduction, and extension;
elbow flexion and supination; scapular adduction and abduction.
Patterns of weakness: absence of elbow extension, pronation, all
wrist and hand movement. Total paralysis of trunk and lower
extremities.
◉Functional Expectation C5. Answer: Respiratory: may require
assist to clear secretions.
ADLs:
- Feeding: setup.
- Grooming: partial to total assist
- Dressing: UE: partial assist. LE: total assist.
- Toileting: total assist
- Bathing: total assist
Wheelchair mobility:
- Power wheelchair likely for community mobility.
- Manual wheelchair: some may require self-propel custom manual
wheelchair on level surfaces. Some require total assist outdoors.
- Transportation: Some may drive vehicle IND with highly
specialized equipment. Most remain in wheelchair as passenger
with a wheelchair tie down system.
, ◉Injury Level C6. Answer: Functionally relevance muscles
innervated: clavicular pectoralis supinator, EXRB and L; serratus
anterior; latissimus dorsi.
Movement possible: scapular protractor; some horizontal adduction,
forearm supination, radial wrist extension.
Patterns of weakness: absence of wrist flexion, elbow extension,
hand movement, total paralysis of trunk and lower extremities.
Important concept for C6:
- Tenodesis Grip: Stretching -- don't overstretch flexor tendons.
Splinting -- maintain thumb opposition.
◉Functional Expectation C6. Answer: ADLs:
- Feeding: setup to IND
- Grooming: partial assist to IND
- Dressing: UE: IND. LE: partial assist (some may achieve IND)
- Bowel management: partial assist (some may achieve IND)
-Bladder management: partial assist (some may achieve IND)
-Bathing: Upper body: IND. Lower body: partial assist (some may
achieve IND)
- Wheelchair mobility: power wheelchair: IND. Manual wheelchair:
partial assist to IND with custom setup.
- Transportation: independent driving: may transfer or drive from
wheelchair (some can independently load and unload a manual
wheelchair to/from vehicle)
