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Spine and Spinal Cord Test
Spinal Cord 2
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1. The thoracic region (T1-T10) of the spine has relatively low stability (True / False - 10 Points)
True
False
2. The number one cause of spinal cord injuries in the United States is injury due to a fall. (True / False - 10 Points)
True
False
3. What is the highest distributions of spinal cord injuries: (Multiple Choice - 10 Points)
C- Spine
T- Spine
Thoracolumbar
Lumbosacral
4. Patients with spinal cord injuries should be log-rolled with the help of at least 3 people to keep the spine immobilized. (True / False - 10 Points)
True
False
5. Delayed or missed diagnosis is attributed to failure to suspect an injury or incorrect interpretation of x-rays. (True / False - 10 Points)
True
False
6. If the physical exam is suspicious for an injury - CT with 3mm axial cuts should be obtained. (True / False - 10 Points)
True
False
7. Neurogenic shock can result from disruption of the sympathetic chain emanating from the spinal cord resulting in loss of cardiovascular tone. (True / False - 10 Points)
True
False
8. If injury to C6 and above is suspected; intubation should not be considered prior to transport. (True / False - 10 Points)
True
False
9. High dose methylprednisolone remains mainstay treatment with non-penetrating spinal cord injury within the first 8 hours. (True / False - 10 Points)
True
False
10. Prompt consultation and transfer are NOT necessary when there is uncertainty about the ability to manage a spinal injury patient. (True / False - 10 Points)
True
False
11. Physicians can also play an important role in injury prevention science by participating in data collection and research. (True / False - 10 Points)
True
False
12. How can physicians be advocates for injury prevention? (Multiple Choice - 10 Points)
By speaking publicly
By taking leadership positions to mobilize community support
Encouraging legislative action
All of the above
13. Flaccid paralysis distal to injury site; loss of autonomic function; hypotension; vasodilation are signs of neurogenic shock. (True / False - 10 Points)
True
False
14. Any suspected spinal injury does NOT need to have a C-collar and placed on a rigid spine board prior to transfer. (True / False - 10 Points)
True
False
15. The lumbar spine has greater mobility allowing for greater movement and therefore injury is not very common. (True / False - 10 Points)
True
False
16. Whiplash is a term used to describe the injuries to the thoracic spine. (True / False - 10 Points)
True
False
17. Most patients with a c-spine fracture do not have a second; non-contiguous vertebral column fracture. (True / False - 10 Points)
True
False
18. A 19 year old patient arrives at your ER following a motor vehicle accident and is diagnosed with a vertebral fracture- how will the patient be evaluated and treated? (Multiple Choice - 10 Points)
Close attention to patient's airway; breathing and circulation
Adherence to his cervical spine precautions
Logrolling patient to obtain radiographs
All of the Above
19. Severe injuries to the C-Spine rarely result in immediate death (True / False - 10 Points)
True
False
20. Before clearing a C-spine and removing the C-collar you should: (Multiple Choice - 10 Points)
Perform an x-ray
Visualize the joint between C7 and T1 in the x-ray
Verify that the right and left articulations of C1 and C2 are present and intact in the x-ray
All of the above
21. Content of this activity was free of commercial bias? (Answer not graded)
True
False
22. Presentation level and content was appropriate? (Answer not graded)
True
False
23. Your educational needs were satisfied, and you will apply what you have learned in your practice? (Answer not graded)
True
False
24. Educational design and format was clear and easy to understand? (Answer not graded)
True
False
25. Stated objectives were clearly presented and met? (Answer not graded)
True
False
26. Do you have any comments that you would like to share with Correct Care as to how we might improve on this CME? (Essay - Survey Question)
How will you apply what you have learned to your practice?
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