Spinal Cord Injuries Quiz-2
This lecture is presented by Dr. Dubisky. He talks about the do's and dont's for a person with a spinal cord injury. In addition he informs us of the types of injures we may see.
- 1.Most common cause of spinal cord injuries
- A.
Diving
- B.
Contact sports
- C.
Motor vehicle accidents
- D.
Blunt trauma
- 2.A portion of spinal cord injuries occur in transit to the hospital
- A.
True
- B.
False
- 3.What is the first thing to check when assessing a situation?
- A.
Locate the cause of injury
- B.
ABCs
- C.
A way to immobilize the fracture
- D.
TART
- 4.This is paramount after a possible spinal cord injury
- A.
Rapid transport
- B.
Assessing for ROM
- C.
Intubation
- D.
Neck immobilization
- 5.What is usually an indication of a cervical trauma in an alert trauma patient?
- A.
Decreased ROM in the cervical area
- B.
Pain & tenderness in the cervical area
- C.
Uncontrollable rapid blinking
- D.
Radiating pain down spinal column
- 6.Should you assume a cervical fracture in an unconscious patient?
- A.
Yes
- B.
No
- 7.Standard radiologic evaluation consists of 3 views. What are they?
- A.
Cross-table lateral
- B.
Sagittal
- C.
A-P
- D.
Open mouth
- 8.Which vertebra is most difficult to see but 20-30% of injuries occur there?
- A.
C1
- B.
C2
- C.
C6
- D.
C7
- 9.Computed tomography (CT) is superior to film x-rays in identifying which vertebra?
- A.
C1
- B.
C2
- C.
C3
- D.
C4
- E.
C7
- 10.What is the best surgical intervention for cervical injury?
- A.
Decompression
- B.
Stabilization
- C.
Repairing of associated tissue
- D.
Strengthening of supporting vertebra
- 11.In Brown Sequard syndrome how does the patient symptoms present?
- A.
Ipsilateral loss of pain & temperature with contralateral loss of proprioception and motor function
- B.
Ipsilateral loss of motor function and proprioception and contralateral loss of pain & temperature
- C.
Ipsilateral loss of motor function, pain, temperature & proprioception
- D.
Contralateral loss of motor function, pain, temperature & proprioception
- 12.In Brown Sequard syndrome this is preserved do to redundant contralateral and ipsilateral paths.
- A.
Reflexes
- B.
Light touch
- C.
Vibratory sense
- D.
Temperature
- 13.In Central cord syndrome hyperextension of the neck causes what symptom(s)?
- A.
Weakness in the upper extremities
- B.
Sensory loss below the lesion
- C.
Sphincter dysfunction (bladder retention)
- D.
Hyperreflexia of the upper extremities
- 14.For Anterior spinal cord syndrome what function(s) remain?
- A.
Vibratory sense
- B.
Pain
- C.
Temperature
- D.
Motor function
- 15.Posterior cord syndrome is rare with patient presenting with....
- A.
Heightened vibratory sensation
- B.
Weakness in the lower extremities
- C.
Burning paresthesias involving the neck, arms & torso
- D.
Weakness in the upper extremities
- 16.What are the categories of spinal cord lesions?
- A.
Upper extremity lesions
- B.
Incomplete lesions
- C.
Lower extremity lesions
- D.
Complete lesions
- 17.Immediately after a spinal cord injury hemorrhages occur where?
- A.
In the white matter
- B.
In the grey matter
- C.
Usually in the anterior spinal artery
- D.
Usually in the posterior spinal arteries
- 18.After a spinal cord injury, a zone of hemorrhage, edema and necrosis spreads. This damage ultimately involves the diameter of the whole spinal cord within what time frame?
- A.
1-2 hours
- B.
12-14 hrs
- C.
6-24 hrs
- D.
48 hrs
- 19.The Acute phase of spinal cord trauma is characterized by what 2 stages?
- A.
Massive somatic instability
- B.
Spinal shock
- C.
Spastic paralysis
- D.
Massive autonomic instability
- 20.What is give to patients who are experiencing the acute phase of spinal trauma?
- A.
Supportive care
- B.
Blood pressure medication
- C.
IV fluids
- D.
Corticosteroids
- 21.Once the chronic phase hit for spinal trauma how long does it take for the reflexes to return?
- A.
2 weeks
- B.
3 weeks
- C.
4 weeks
- D.
5 weeks
- 22.Higher injuries to the spinal cord are better than lower injuries.
- A.
True
- B.
False
- 23.How long does it take for maximum recovery for a spinal cord injury?
- A.
3 mo
- B.
4 mo
- C.
6 mo
- D.
1 yr
- 24.What are some problems associates with decreased mobility
- A.
Contractures
- B.
Mental instability
- C.
Skin breakdown
- D.
Increased risk of infection
Questions: 26 | Attempts: 4003 | Last updated: Mar 22, 2022
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