chapter 32

A neurological deficit is an indicator of which​ injury? A. Spinal cord injury B. A neck fracture C. A rotational injury D. Spinal column injury

A

As a backup unit on a​ multiple-car collision, you are assigned to care for an infant who is still in his car​ seat, locked into the backseat of the car. As you prepare this patient for​ transport, which statement is MOST​ accurate? A. The infant should be removed from the car seat and immobilized to a backboard. B. The infant should be immobilized on the same backboard as a parent to keep the infant calm. C. The infant should be transported to the hospital via air​ transport, since infants often deteriorate rapidly. D. The infant can be secured and transported in the car seat if the infant presents without any life threats.

A

A​ 22-year-old woman dove into the shallow end of the pool and injured her neck. Which of the following spinal injuries is most​ likely? A. Compression B. Flexion C. Rotation D. Hyperextension

A

Choosing to apply full spinal immobilization on a patient with a significant MOI but no sign of spinal column injury will not protect the patient​ from: A. SCIWORA. B. arthritis. C. the formation of scar tissue. D. a herniated disk.

A

The medical director for EMS is providing a presentation regarding stabilizing spinal cord injuries. Which information should be included to prevent further trauma to the spinal​ cord? A. Focus on spinal motion restriction techniques. B. Stabilize the patient using a long backboard. C. Immobilize the patient with a penetrating injury. D. Turn the patient to one side prior to transport.

A

The EMT arrives at a call for a patient who sustained injuries after being ejected from a motorcycle. Which assessment finding indicates the need for spine motion restriction​ (SMR)? A. Reports absence of spinal pain B. No evidence of intoxication C. Glasgow Coma Scale score of 7 D. Lack of numbness and tingling

C

Spine motion restriction may not be indicated in which of the​ following? A. Distracting injury B. Spinal tenderness C. Glasgow Coma Scale​ (GCS) of 15 D. Language barrier

C

Telling a trauma patient to​ "flex your​ arms" tests motor function​ at: A. L5. B. T1. C. S1. D. C6.

D

The steps in immobilizing a supine patient to a long backboard​ include: A. removing the cervical collar once the patient is immobilized on the board. B. using the​ logroll, a move ideally performed by at least two rescuerslong dashone at the​ head, the other at the hips. C. not placing padding on the​ board, as it might move the spine out of alignment. D. securing the​ patient's torso to the board before securing the head.

D

Which choice best describes what the underlying pathophysiology is in a patient with spinal​ shock? A. Paralysis of the respiratory​ muscles, occurring with injury to the thoracic spine B. Paralysis to only one side of the body that does not resolve C. Inadequate circulation indicated by a rapid pulse and​ cool, clammy skin D. Dilation of the blood vessels resulting in reduction of perfusion to tissues

D

What is NOT considered to be an indication for providing rapid extrication to a patient who was involved in an​ MVC? A. Suspected​ high-impact collision speed B. The patient is hypotensive and tachycardic. C. The patient blocks your access to a second patient in the car who is critically injured. D. The engine compartment is smoking.

A

Which of the following tools is NOT recommended for removing the face mask from a football​ helmet? A. Screwdriver B. PVC pipe cutter C. FM extractor D. Pruning shears

A

You determine that an ambulatory patient requires spine motion restriction. You should​ first: A. instruct the patient to maintain​ self-restriction. B. place a backboard behind the patient. C. direct the patient to sit on the stretcher. D. place a cervical collar on the patient.

A

Which type of alternative to a long backboard may be used for spine motion​ restriction? A. Short backboard B. Vacuum mattress C. Pneumatic antishock garment D. Traction splint

B

An involuntary erection of the​ penis, caused by a spinal cord​ injury, is called A. neurologic hypotension. B. priapism. C. neurologism. D. spinal shock.

B

A​ 24-year-old male patient fell from a roof. He denies neck or back pain. Which of the following would indicate the need for spine motion restriction​ (SMR)? A. Glasgow Coma Scale​ (GCS) of 15 B. Open femur fracture C. No tenderness upon palpation of the spine D. Denies the use of drugs

B

In order from top to​ bottom, how many vertebrae are in each section of the spinal​ column? A. ​5, 12,​ 7, 5, 4 B. ​7, 12,​ 5, 5, 4 C. ​5, 12,​ 5, 7, 4 D. ​7, 12,​ 5, 4, 5

B

The first seven vertebrae are referred to as the A. thoracic spine. B. cervical spine. C. lumbar spine. D. sacral spine.

B

The vertebrae are divided into five areas. From top to​ bottom, these areas​ are: A. ​cervical, lumbar,​ thoracic, coccygeal, and sacral. B. ​cervical, thoracic,​ lumbar, sacral, and coccygeal. C. ​coccygeal, sacral,​ lumbar, thoracic, and cervical. D. ​thoracic, lumbar,​ sacral, cervical, and coccygeal.

B

There are some situations in which you may move the patient with a suspected spinal injury before immobilizing him to a long or short spinal device. These situations include​ when: A. you have other patients to care for at the scene. B. the scene is not safe. C. the​ patient's condition is​ stable, with no signs of neurologic deficit. D. you have enough help to do so.

B

What is a temporary​ concussion-like insult to the spinal cord that causes effects below the level of the​ injury? A. Neurogenic hypotension B. Spinal shock C. Cord transection D. ​Brown-Séquard syndrome

B

Which of these assessments must be done BEFORE the​ others? A. numbness B. mental status C. sensation D. pain

B

What has studying the historical approach to spinal immobilization​ revealed? A. It is possible to completely immobilize the spine. B. Mechanism of injury should be the sole indicator for spinal immobilization. C. Numerous patients without spinal injury were immobilized. D. Spinal immobilization is harmless.

C

Which form of spinal injury is most common in​ hangings? A. Rotation B. Lateral bending C. Distraction D. Compression

C

Which presentation would MOST likely be consistent with a patient possibly having a spinal​ injury? A. Male patient found in a tripod position in his​ garage, complaining of dyspnea B. Conscious female patient with a history of dropping a bowling ball on her foot C. Male patient found lying unresponsive under a tree D. Elderly female patient found lying in bed wearing pajamas

C

A patient is ambulatory after a motor vehicle collision. Spinal tenderness is noted during the assessment. After placing a cervical​ collar, you should​ next: A. place a long backboard behind the patient. B. place a short backboard behind the patient. C. direct the patient to sit on the ground. D. direct the patient to sit on the stretcher.

D

Assuming no evidence of spinal​ injury, a patient who has suffered which of the following should not be immobilized on a​ backboard? A. Struck by a vehicle at high speed B. Struck by a baseball bat C. Fall from 20 feet D. Gunshot wound to the neck

D

It is more common for spine injuries to cause​ paralysis: A. on only the right side or only the left side​ (hemiplegia). B. to only one leg or only one arm. C. to only the upper extremities. D. to all four extremities​ (quadriplegia) or to only the lower body and legs​ (paraplegia).

D