ATLS: Spine and Spinal Cord Trauma
Revised Mock Exam Questions and
Answers |100% Correct| 2024/2025
Latest Version!!
What are the key indicators of spinal cord injury in a trauma patient?
Key indicators include loss of sensation or motor function below the level of injury, altered
reflex...
ATLS: Spine and Spinal Cord Trauma
Revised Mock Exam Questions and
Answers |100% Correct| 2024/2025
Latest Version!!
What are the key indicators of spinal cord injury in a trauma patient?
Key indicators include loss of sensation or motor function below the level of injury, altered
reflexes, and changes in bowel or bladder control.
How is a spinal injury typically assessed during the primary survey?
A spinal injury is assessed by checking for midline tenderness along the spine, evaluating the
patient’s ability to move their extremities, and conducting a neurological examination.
Explain the significance of immobilizing a patient with suspected spinal cord injury.
Immobilization is crucial to prevent further injury to the spinal cord and to minimize the risk
of exacerbating existing injuries during transport and examination.
What are the common mechanisms of injury that can lead to spinal cord trauma?
Common mechanisms include high-energy impacts such as motor vehicle accidents, falls
from height, sports-related injuries, and penetrating trauma.
Describe the appropriate management steps for a patient with a suspected cervical spine injury.
1
, Management steps include stabilizing the head and neck, applying a cervical collar, avoiding
movement of the spine, and preparing for imaging studies such as X-rays or CT scans.
What imaging studies are most commonly used to evaluate spinal injuries?
X-rays, CT scans, and MRI are commonly used to evaluate spinal injuries, with CT being
particularly effective for detecting fractures and dislocations.
How should a healthcare provider assess the neurological status of a patient with suspected
spinal cord injury?
Neurological status should be assessed by evaluating the motor and sensory function of all
extremities, assessing reflexes, and determining the level of consciousness.
What complications may arise from spinal cord injuries?
Complications can include neurogenic shock, respiratory failure, autonomic dysreflexia,
pressure ulcers, and long-term disability.
What is the importance of monitoring respiratory function in patients with cervical spine
injuries?
Monitoring is critical because injuries at or above the C4 level can impair the diaphragm and
lead to respiratory failure, necessitating early intervention such as intubation.
Discuss the role of steroids in the management of spinal cord injuries.
2
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