Spinal Cord Injuries Quiz-2

24 Questions | Total Attempts: 744

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Spinal Cord Injury Quizzes & Trivia

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.


Questions and Answers
  • 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

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