ATLS 10th Edition - Spine Trauma Exam Questions And Answers, Exams of Nursing

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Questions And Answers

Spinal Trauma Cervical Thoracic Thoracolumbar - - - correct answer ✅Cervical - 55% Thoracic - 15% Thoracolumbar 15% lumbosacral area - 15 % Cervical Spine Fracture: Incidence of non contiguous fracture - - - correct answer ✅Up to 10% of patients with a cervical spine fracture have a second, noncontiguous vertebral column fracture. Paediatric Cervical Spine Anatomical Differences - - - correct answer ✅C spine injury is rare C1 - C4 injuries are twice as soon than lower C Spine injuries Spinal shock - - - correct answer ✅Spinal shock refers to the flaccidity (loss of muscle tone) and loss of relexes that occur immediately after spinal cord injury. After a period of time, spasticity ensues

Questions And Answers

Central cord syndrome - - - correct answer ✅1. disproproportionately greater loss of motor strength in the upper extremities than in the lower extremities, with varying degrees of sensory loss. hyperextension injury in a patient with preexisting cervical canal stenosis. The mechanism is commonly that of a forward fall resulting in a facial impact. with or without cervical spine fracture or dislocation. The prognosis for recovery is somewhat better than with other incompete injuries. elderly, who have underlying spinal stenosis and sufer a ground- level fall Anterior cord syndrome - - - correct answer ✅anterior part of the cord. It is characterized by paraplegia and a bilateral loss of pain and temperature sensation. However, sensation from the intact dorsal column (i.e., position, vibration, and deep pressure sense) is preserved. This syndrome has the poorest prognosis of the incomplete Due to cord ischaemia

Questions And Answers

Brown-Séquard syndrome - - - correct answer ✅hemisection of the cord, usually due to a penetrating trauma. ipsilateral motor loss (corticospinal tract) and loss of position sense (dorsal column), associated with contralateral loss of pain and temperature sensation beginning one to two levels below the level of injury (spino-thalamic tract). Even when the syndrome is caused by a direct penetrating injury to the cord, some recovery is usually achieved. Corticospinal Tract Location - - - correct answer ✅Anterior and lateral segments of the cord Motor Spinothalamic Tract - - - correct answer ✅Anterolateral aspect of cord Pain and temperature Dorsal columns - - - correct answer ✅Posteromedial aspect of the cord Proprioception, vibration, light touch

Questions And Answers

Atlanto Occipital Dislocation - - - correct answer ✅Severe traumatic flexion and distraction Death from brain stem destruction Atlas Fracture - C1 - - - correct answer ✅5% of acute spine fractures 40% of atlas fractures are associated with fractures of C Burst / Jefferson Fracture Axial Loading Unstable - not usually associated with spinal cord injury C1 rotary subluxation - - - correct answer ✅Persistent rotation of the head (torticollis) Odontoid is not equidistant from the two lateral masses of C Axis / C2 Fractures - - - correct answer ✅18% of C Spine Injuries 60% of C2 Fractures involve odontoid PEG Odontoid PEG Fractures - - - correct answer ✅Type 1 - Tip Type 2 - Base Type 3 - Base with oblique extension into body of axis

Questions And Answers

Posterior Elements Fracture / Hangman's Fracture - - - correct answer ✅Posterior elements which involves pars articularis Extension Injury C3 - C7 Fractures / Dislocation - - - correct answer ✅Greatest area of flexion and extension of C Spine is C5 / C Most common level of fracture - C Subluxation - C5 on C Thoracic Spine Fractures (4) - - - correct answer ✅Anterior Wedge Compression - Axial loading with flexion Burst - Vertical Axial Compression Chance - Tranverse Fracture through vertebral body (flexion about an axis, associated with retroperitoneal and abdominal visceral injuries) Fracture Dislocation Thoracic Spine Anatomy - - - correct answer ✅Spinal Canal is narrow in relation to spinal cord Fracture subluxations are commonly associated with complete neurological deficit

Questions And Answers

NEXUS criteria for C-spine imaging - - - correct answer ✅N - Neuro deficit E - EtOH X- eXtreme distracting injuries U- Unable to provide history / altered level of consciousness S - Spinal Tenderness