SCI

Question 1

Most common cause of death in SCI

Answer 1

PNEUMONIA

Question 2

MOST COMMON LEVEL OF SCI INJURY

Answer 2

C5

Question 3

PREDICTORS OF MORTALITY IN SCI

Answer 3

MALE, ELDERLY, MEDICARE OR MEDICAID, LOW INCOME, POOR COMMUNITY INTEGRATION, CERVICAL INJURY, MV, COMPLETE INJURY, INJURY BY VIOLENCE

Question 4

WHICH TRACT OF THE SPINAL CORD CROSSES AT THE CORD?

Answer 4

LATERAL SPINOTHALAMIC- PAIN AND TEMPERATURE

Question 5

ARTERY OF ADAMKIEWICZ

Answer 5

MAJOR BLOOD SUPPLY TO THE LUMBOSACRAL SPINE. ARISES FROM T9-L3.

Question 6

CORD WATERSHED AREA

Answer 6

T4-T6

Question 7

MOST COMMON LEVEL FOR COMPRESSION FRACTURE

Answer 7

C5

Question 8

UNILATERAL FACET DISLOCATION

MECHANISM? MOST COMMON LEVEL? WHAT MAKES IT UNSTABLE?

Answer 8

CERVICAL/ FLEXION ROTATION. C5-C6. UNSTABLE IF PLL INVOLVEMENT

Question 9

BILATERAL FACET JOINT DISLOCATION

Answer 9

> 50% VERTEBRAL BODY DISPLACEMENT. MECHANISM: FLEXION. MOST COMMON LEVEL: C5-C6. MORE LIKELY TO BE COMPLETE INJURY.

Question 10

POOR PREDICTORS FOR RECOVERY OF TRANSVERSE MYELITIS

Answer 10

RAPID PROGRESSION, BACK PAIN AND SPINAL SHOCK

Question 11

MOST COMMON LEVEL FOR HYPEREXTENSION INJURY

Answer 11

C4-C5

Question 12

MOST COMMON SPINAL CORD MET AND PRIMARY TUMOR OF SPINAL CORD.
CLINICAL PRESENTATION

Answer 12

MOST COMMON PRIMARY TUMOR ARE EPENDYMOMA AND ASTROCYTOMA.
MET: LUNG, BREAST AND PROSTATE.
PRESENT WITH PAIN.

Question 13

MOST RESTRICTIVE REMOVABLE CERVICAL BRACE

Answer 13

MINERVA

Question 14

JEFFERSON FRACTURE

Answer 14

USUALLY STABLE C1 BURST FRACTURE. IF STABLE: HALO. IF UNSTABLE: SURGERY

Question 15

HANGMANS FRACTURE

Answer 15

C2 BURST FRACTURE

Question 16

ODONTOID FRACTURE TYPE1-3

Answer 16

TYPE 1: THROUGH THE TIP OF THE DENS
TYPE 2: MOST COMMON. TROUGH THE BASE
TYPE 3: EXTENDS TO THE BODY OF C2.

Question 17

CHANCE FRACTURE

Answer 17

USUALLY AFTER HYPERFLEXION AND AFFECTS T12, L1 AND L2

Question 18

PREDISPOSING FACTORS FOR SCIWORA

Answer 18

LARGE HEAD TO NECK RATIO. ELASTICITY OF FIBROCARTILOGINOUS SPINE. HORIZONTAL ORIENTATION OF CERVICAL FACETS.

Question 19

ASIA SENSORY LEVEL AND MOTOR LEVEL OF INJURY

Answer 19

SENSORY: MOST CAUDAL DERMATOME WITH NORMAL SENSATION IN BOTH SIDES. MOTOR: MOST CAUDAL >3/5 WITH ALL THE SEGMENTS ABOVE 5/5. MOTOR LEVEL CAN DE DETERMINED FOR EACH SIDE.

Question 20

ASIA B

Answer 20

MOTOR COMPLETE. HAS SENSATION

Question 21

CENTRAL CORD SYNDROME

Answer 21

MOST COMMON INCOMPLETE SCI. AFFECTS UEx>LEx ASSOCIATED WITH SPONDYLOLISIS AND HYPEREXTENSION. GOOD PROGNOSIS IF YOUNGER THAN 50.

Question 22

AD MANAGEMENT DURING DELIVERY

Answer 22

SPINAL ANESTHESIA

Question 23

HO IN SCI. ONSET? MOST COMMON LOCATION? ALP PEAK?

Answer 23

ONSET 1-4 MONTHS. MOST COMMON LOCATION HIP. ALP PEAKS AT 10 WEEKS AFTER HO DEVELOPED.

Question 24

DVT IN SCI. ONSET? GOLD STANDARD STUDY? PROPHYLAXIS?

Answer 24

MOST COMMON AT 2 WEEKS, INCIDENCE DECREASES AFTER 8-12 WEEKS. VENOGRAM IS THE GOLD STANDARD FOR DIAGNOSIS. PROPHYLAXIS IF INCOMPLETE AND AMBULATING- UNTIL DISCHARGE. COMPLETE AND UNCOMPLICATED- 8 WEEKS. COMPLETE AND COMPLICATED 12 WEEKS OF AT DISCHARGE IF MORE THAN 12 WEEKS.

Question 25

LEADING CAUSE OF DEATH IN ACUTE SCI

Answer 25

PULMONARY EMBOLISM

Question 26

MOST COMMON LOCATION OF PAIN IN SCI

Answer 26

SHOULDER

Question 27

POSTRAUMATIC SYRINGOMYELIA. ONSET? PROGRESSION? EARLIEST SIGN?

Answer 27

DEVELOPS FROM 2 MONTHS TO DECADES POST INJURY. PROGRESSES CEPHALAD. EARLIEST SIGN IS ASCENDING LOSS OF DTRs.

Question 28

LEADING CAUSE OF DEATH IN YOUNGER PATIENTS WITH SCI

Answer 28

SUICIDE

Question 29

LOCATIONS FOR PRESSURE LESION. FIRST 2 YEARS? AFTER 2 YEARS? CHILDREN LESS THAN 13 YEARS OLD?

Answer 29

FIRST 2 YEARS: SACRUM. AFTER 2 YEARS: ISCHIAL TUBEROSITIES. LESS THAN 13 YO: OCCIPUT