Lesson 7

Question 1

pyramidal tract

Answer 1

motor function same side

Question 2

posterior columns

Answer 2

position and vibration

same side

Question 3

spinothalamic tract

Answer 3

pain and temp

different sides

Question 4

spinal injury types

Answer 4

primary

secondary

Question 5

primary spinal injury

Answer 5

occur on impact

Question 6

exam

Answer 6

mental status 
cranial nerves (smell/pupils/follow pen)
motor functions
sensory function

Question 7

questions to ask

Answer 7

where u are
what time
what happened

Question 8

spinal cord injury BP

Answer 8

over 100

Question 9

3 things PCPs can do to help spinal cord injuries

Answer 9

hypoxia
hypotension
hemorrhage

Question 10

spinal cord sections

Answer 10

cervical 7
thoracic 12
lumbar 5 
sacrum 5
coccyx 4

Question 11

most common age for spinal injuries

Answer 11

16-35 y/o

80% are males

Question 12

spinal trauma main causes

Answer 12

MVC 48%
falls 21%
penetrating injuries 15%
sports injuries 14%
other...

Question 13

secondary injuries

Answer 13

damage that occurs after impact

can be systemic/intrinsic

Question 14

secondary injuries (systemic)

Answer 14

hypoxia
hypotension
anemia 
increased/decreased CO2
hyper/hypoglycemia

Question 15

secondary injuries (intrinsic)

Answer 15

ICP
edema
hematomas
seizures

Question 16

spinal injury primary assessment

Answer 16

ABC’s

neurological assessment

Question 17

spinal injury neurological assessment

Answer 17

mental status
cranial nerves
motor function
sensory function

Question 18

what comes first GCS or correctible mental status impairment causes?

Answer 18

correctible mental status impairment causes

Question 19

how to test upper extremity motor function

Answer 19

move hands/arms

squeeze your fingers

Question 20

how to test lower extremity motor function

Answer 20

wiggle toes

push and pull the feet against resistance

Question 21

how to check sensory function

Answer 21

start at the head and work your way down

Question 22

loss of sensation at the clavicles is a….

Answer 22

C4-C5 injury

Question 23

loss of sensation at the nipples is a….

Answer 23

T4 injury

Question 24

loss of sensation at the umbilicus is a….

Answer 24

T10 injury

Question 25

loss of sensation at the pelvic rim is a….

Answer 25

T12 injury

Question 26

high cervical injuries

Answer 26

diaphragm/intercostals paralysis

loss of ability to breathe

Question 27

lower cervical injuries

Answer 27

intercostal paralysis

Question 28

what must get ruled out before the condition is known as neurogenic shock?

Answer 28

hemorrhaging

Question 29

CNS injury airway management

Answer 29

open - jaw thrust

clear - suction if needed

maintain

Question 30

if BP is increased

Answer 30

IV LR/NS TKO

Question 31

if BP is decreased

Answer 31

IV LR/NS bolus

Question 32

t/f steroids are recommended for spinal cord injury?

Answer 32

F!