Chapter 32 Canvas/MBL Quiz

What is the MOST common cause of spinal​ injury?

automobile accidents

How many vertebrae form the cervical​ spine?

seven

The application of spine motion restriction usually requires securing the patient to​ a(n)

stretcher

Injury to the sensory and motor tracts located in the anterior portion of the spinal cord is​ called:

anterior cord syndrome

Assessment of the cervical spine of a patient, complaining of lower back pain after falling down five stairs, reveals no displacement, tenderness, or instability. Accordingly, the EMT should:

apply a properly sized cervical collar

The EMT is properly assessing for a spinal cord injury when she:

asks the patient to spread his fingers apart on both hands

You are assessing distal pulses on a trauma patient. Which pulse should be assessed in the lower​ extremity?

pedal

Which of the following shows that the EMT is correctly assessing motor function in the arms of a patient with potential spine injuries?

"I need you to flex both arms across your chest."

All of the following would indicate the need of spinal motion restriction for a trauma​ patient, EXCEPT:

Glasgow Coma Scale​ (GCS) is 15.

What desired minimal pulse oximeter reading does the EMT want to maintain in a patient with a spinal cord​ injury?

​94% or more

After an injury to the spinal cord a patient has differing effects on each side of the body. This is known​ as:

​Brown-Séquard syndrome.

What is the MOST accurate statement about the ability of a patient to breathe when she has suffered a spinal cord​ injury?

the patient may be able to breathe adequately or inadequately or may not be able to breathe at all

Which injury that may result in spinal cord damage would you be most likely to encounter while treating a teenager who attempted to hang himself in his​ garage?

Distraction injury to the cervical spine

The EMS crew has decided that an unresponsive patient who was involved in an MVC needs to be rapidly extricated. What should the EMS providers do​ first?

Provide manual​ in-line stabilization of the head.

A trauma patient is unable to push down with his feet. This may indicate damage in the area​ of:

S1

Which of the following was the original thought behind spinal​ immobilization?

The backboard would protect against any further injury.

Which one of the following shows that the EMT's are correctly using a vest-type short spine immobilization device?

The head is secured to the device after the torso has been secured.

When should the EMT remove the helmet of an injured​ patient?

The helmet interferes with your ability to assess the airway.

While performing the primary assessment on a patient with an isolated spinal cord injury, you note that he is in severe respiratory distress and struggling to breathe. Where should you suspect the spinal cord injury has occurred?

cervical spine

When immobilizing infants and​ children, it is important to​ remember:

that if an automobile collision involves a child in a car​ seat, you cannot use that car seat to stabilize the child for transport.

Until​ recently, the indication to provide spinal immobilization was solely based​ on:

the mechanism of injury.

A​ 47-year-old male patient has been involved in motor vehicle collision. He denies symptoms and has no signs of spinal injury. In which of the following situations would spine motion restriction be​ required?

Altered mental status

When performing the secondary assessment, what sign is most suggestive of a spinal cord injury?

Persistent penile erection

The EMT is caring for a patient who sustained a spinal cord injury in a motor vehicle collision. Which assessment finding would indicate a spinal cord versus a spinal column​ injury?

Bilateral​ motor/sensory loss

Which of the following should be done when applying spine motion restriction to the ambulatory​ patient?

Bring the stretcher to the patient.

After sustaining a fall from a​ roof, your patient presents with an inability to move his​ arms, but he can still move his legs just fine. What type of partial cord injury is​ this?

Central cord syndrome

Which of the following is an accurate statement regarding spine motion restriction​ (SMR)?

Decisions to utilize SMR should be based on the assessment.

a 42 year old man has called 911 because of severe back pain. He informs you that his back pain is related to a recent fracture of the coccyx. Based on this info, where should the EMT expect the patient to be complaining of pain?

Pelvis area

Which patient should be rapidly extricated from a car after an​ MVC?

The patient who is unresponsive

A spinal column injury typically and primarily damages which of the following​ (but as a result may also damage one or more of the other​ three)?

The vertebrae

A patient injured in a motor vehicle collision is suffering from the separation of the rib and its associated spinal vertebrae. Based on the anatomy of the spine, where has this injury occurred?

Thoracic spine

Based on the structure of the nervous system, which of the following is true?

a deep laceration to the arm can sever peripheral nerves

An EMT is rapidly extricating a critically injured patient from a severely damaged vehicle. Which one of the following would the EMT recognize as acceptable given this patient's condition?

a vest-type or other short spine immobilization device can be omitted, but a cervical collar and manual in-line spinal stabilization are still required

A restrained driver of a car, that struck another car from behind at a low rate of speed, has a bruise to her forehead and complains of tingling in her left leg. She is lying on the side of the road and another EMT has taken manual in-line spinal stabilization. A quick scan of her as you approach indicates that she is in little to no stress. Which one of the following should you do first?

check her breathing and radial pulse

As you approach a motorcyclist who was thrown from his bike, you hear him saying that he cannot feel or move legs. You note obvious deformity to both femurs as well as his left wrist and forearm. EMR is holding manual in-line spinal stabilization. Of the following, which should be done first?

check his rate and effort of breathing

A young intoxicated male patient cannot move his left arm and leg after diving into the shallow end of a pool and hitting the bottom head first. The EMT should recognize which one of the following mechanisms as most likely to be responsible for this injury?

compression

Which injury is possible based on the anatomy of the​ spine?

disk injury between thoracic vertebrae 11 and 12

A male patient has suffered an injury that severed his spinal cord in the thoracic spine. What presentation would be associated with this injury?

he will experience paralysis to the legs

Conflicting or confusing signs of spinal cord injury are typically the result​ of:

incomplete cord injury

The vertebrae that combine to form the lower back are called​ the:

lumbar spine

When performing spine motion​ restriction, the patient should​ be:

made comfortable

A​ 32-year-old male patient has a penetrating injury to the neck. The assessment reveals no indication of spinal injury. You​ should:

not place the patient on a backboard.

You are in the process of applying spine motion restriction to a patient who was ambulatory upon your arrival. After the patient lies down on the​ stretcher, you​ should:

secure the patient to the stretcher

You arrive on the scene of a motor vehicle collision. Walking toward you is the unrestrained driver of the vehicle that sustained moderate front-end damage. The patient complains of some back pain, but is walking around after the crash and does not appear to be suffering from any neurological deficits. What is your initial action in caring for this patient?

take manual in-line stabilization