Thursday, May 1, 2008

Spinal Cord Trauma Quiz

Chapter 32 Quiz
Write the letter of the best answer in the space provided.


__________ 1. All of the following are signs and symptoms in patients with spinal injuries except
A. paralysis. C. hyperglycemia.
B. priapism. D. incontinence.


__________ 2. The part of the nervous system located outside of the brain and spinal cord that detects sensations such as pain is the _____ nervous system.
A. peripheral C. central
B. autonomic D. involuntary


__________ 3. The part of the nervous system that controls involuntary functions such as heartbeat and breathing is the _____ nervous system.
A. peripheral C. central
B. autonomic D. involuntary


__________ 4. Sports helmets most typically open in the
A. front. C. left side.
B. back. D. right side.


__________ 5. In the prehospital environment, the two most likely types of helmets to be encountered are the sports helmet and the _____ helmet.
A. flight C. football
B. military D. motorcycle


__________ 6. The mechanism of injury in which the vertebrae and spinal cord are stretched and pulled apart is called
A. rotation. C. distraction.
B. flexion. D. extension.


__________ 7. The appropriate time to initiate in-line stabilization of the cervical spine is
A. prior to opening the airway.
B. after opening the airway.
C. during transport.
D. after insertion of an oropharyngeal airway.


__________ 8. In spinal shock, a patient’s skin is
A. cool and dry. C. flushed and damp.
B. warm and dry. D. cool and sweaty.


__________ 9. Probably the most common and reliable sign of spinal-cord injury in conscious patients is
A. Battle’s sign. C. raccoon’s sign.
B. pupil dilation. D. paralysis of the extremities.


__________ 10. In the normal extrication of a patient with suspected spinal injury, the device that an EMT would apply first is the
A. cervical collar. C. Kendrick Extrication Device.
B. short spine board. D. long spine board.


__________ 11. The mechanism of injury in which there is severe forward movement of the head or the torso is curved excessively forward is called
A. rotation. C. distraction.
B. flexion. D. extension.


__________ 12. When applying a short spine board or flexible extrication device, you should first secure the
A. torso. C. shoulders.
B. chest. D. head.


__________ 13. The move used to shift a supine patient onto a long backboard for immobilization is the
A. blanket drag. C. firefighter’s lift.
B. armpit–forearm drag. D. log roll.


__________ 14. The spinal column is composed of 33 bones called
A. meninges. C. phalanges.
B. vertebrae. D. carpals.


__________ 15. Which one of the following is not an indication for removing a helmet in a case of suspected head or spine injury?
A. Helmet interferes with assessment of the ABCs.
B. Helmet fits snugly.
C. Patient goes into cardiac arrest.
D. Helmet fits loosely.