DSSSB - 29 August 2019 (Shift-1)
Medical & Surgical Nursing
Easy

Paralysis of all the four extremities is called?

Appeared in: DSSSB - 29 August 2019 (Shift-1)

Explanation

  • Quadriplegia, also known as tetraplegia, is the correct medical term for paralysis that affects all four limbs: both arms and both legs.
  • The prefix 'quad' means four, directly corresponding to the involvement of four extremities.
  • This condition is most commonly caused by an injury to the cervical (neck) region of thespinal cord, which disrupts nerve signals to the entire body below the injury site.
  • In addition to the limbs, quadriplegia often involves paralysis of the trunk and torso, which can affect breathing and other autonomic functions.

Why Other Options Were Wrong

  • Option B: Hemiplegia refers to paralysis on one vertical half of the body. The prefix 'hemi' means half.
  • Option C: Monoplegia is paralysis limited to a single limb or a specific region of the body. The prefix 'mono' means one.
  • Option D: Paraplegia describes paralysis of the lower half of the body, affecting both legs but not the arms.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Terminology for types of paralysis based on the affected body parts as background academic context rather than a clinical decision trigger.
  • Accurate use of terms like quadriplegia is crucial for clear communication among healthcare professionals, ensuring appropriate care planning for mobility, skin integrity, and respiratory support.
  • Nurses caring for patients with quadriplegia must be vigilant for complications such as pressure ulcers, deep vein thrombosis (DVT), respiratory infections, and autonomic dysreflexia.
  • What if? If a patient presented with weakness in both legs but had full function of their arms after a car accident, the correct term would be paraplegia, indicating an injury likely below the cervical spine.
How to Approach the Question
  • First, identify the key phrase in the question: 'paralysis of all the four extremities'.
  • Break down the medical prefixes in the options: 'Quadri-' means four, 'Hemi-' means half, 'Mono-' means one, and 'Para-' relates to the lower half.
  • Match the prefix 'Quadri-' (four) with the description 'all four extremities'.
  • This direct correlation identifies Quadriplegia as the correct answer.
  • Briefly consider the other terms to confirm they describe different patterns of paralysis (one side, one limb, lower body) to solidify your choice.
Concept Tested & Keywords
  • Concept Tested: Terminology for types of paralysis based on the affected body parts.
  • Stem keywords: Paralysis, four extremities
  • Lead-in keywords: is called
  • Negative lead-in flag: false

Question ID

QfWkzz_cIf5ANXazcPiHw4

Reference Book

E6 Ghai Essential Pediatrics(pp 26-904 of 913) pp. 597-599, 594-596

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