Deck 47: Spinal Trauma

Question 1

Which among the following statements is true regarding the vascular supply to the spinal cord?

A) The spinal cord arteries are able to help in compensating with collateral circulation
B) The spinal cord arteries are unable to compensate with collateral circulation
C) If the arterial supply is compromised, this may lead to ischaemia below the site of injury
D) None are correct

Answer 1

The spinal cord arteries are unable to compensate with collateral circulation

Question 2

A person who has a direct fall hitting the sagittal area of the head is susceptible to what type of spinal injury?

A) Flexion-motion injury
B) Extension injury
C) Compression injury
D) Rotation injury

Answer 2

Compression injury

Question 3

Which among the following statements associated with spinal trauma is correct?

A) All multi-trauma patients should be treated as having suspected spinal cord injury (SCI)
B) Unconscious patients with questionable signs of spinal cord injury does not necessarily be treated as having SCI
C) Airway intervention for patients suspected with SCI should include manipulation of the spine
D) Spinal immobilisation is necessary in a pre-hospital management of penetrating cord injuries affecting the head and neck where there is no neurological deficit

Answer 3

All multi-trauma patients should be treated as having suspected spinal cord injury (SCI)

Question 4

What is the ideal body position in the management of patient with multiple injuries?

A) Prone position
B) Moderate-high back rest
C) Recovery position
D) Neutral position

Question 5

What is the significance of a rectal examination in a spinal cord injury?

A) It helps identify internal bleeding
B) It helps assess lumbar injury
C) It helps identify the presence of sacral nerve injury
D) It is a definitive indicator of sacral nerve injury

Question 6

Based on NEXUS low-risk criteria, which among the following DOES NOT belong to the the criteria of cervical spine radiography indication?

A) Trauma patient with posterior midline cervical spine tenderness
B) Trauma patient with altered level of alertness
C) Trauma patient with evidence of intoxication
D) None are correct

Question 7

It is the characteristic of paradoxical breathing which may be a result of a damage to the cervical cord.

A) The abdomen expands during inspiration while the chest moves inwards
B) The abdomen moves inwards during inspiration while the chest expands
C) Both abdomen and chest expand during inspiration
D) Both abdomen and chest move inwards during expiration

Question 8

Who among the following most likely suffer from respiratory impairment?

A) Patient with C4 injury
B) Patient with T1 injury
C) Patient with L3 injury
D) Patient with S1 injury

Question 9

The loss of the body's ability to autoregulate temperature:

A) Athermia
B) Poikilothermia
C) Dysthermia
D) Hypothermia