Test 3.1 Flashcards

1
Q

What is SCI

A

A condition with structural distortion of the cervical spine column which is associated with actual or potential damage to the spinal cord

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2
Q

What’s direct cervical spine injuries

A

Result from participation in skills of sports

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3
Q

What’s indirect cervical spine injury

A

Result from systemic failure secondary to exertion while participating in a sport

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4
Q

What are the subdivision of cervical spine injuries and define them

A

Fatal

Nonfatal- injury causes permanent neurologic damage

Serious- severe injury but no permanent damage

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5
Q

How many SCI cases are estimated each year and what’s the most popular cases

A

12,000 new cases each year and 42% are vehicle crashes

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6
Q

Sport participation is _____ most common cause of spinal injury

A

4th rounding at 8%

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7
Q

For those under 30 years old it is the ____ most common cause after motor vehicle crashes

A

2nd

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8
Q

Appropriately how many SCI cases occur in males

A

80%

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9
Q

What happened in 1976 in the nfl

A

Rule changes to prevent head first contact

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10
Q

Cervical spine consist of how many cervical vertebrae and vertebral discs

A

7

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11
Q

Vertebrae encases and protects?

A

Spinal cord

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12
Q

Nerves roots pass through ______ providing sensory and motor function to the upper extremities

A

Intervertebral spaces

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13
Q

What are the different types of MOI

A

Axial loading
Hyperflexion/hyperextension
Rotational loading
Excessive lateral flexion

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14
Q

What does axal loading consist of

A

When the head and neck are flexed between 20 and 30 degrees and the head serves as the point of contact

Most common MOI for SCI

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15
Q

What does rotational loading consists of

A

Causes distribution of ligaments, subluxation, dislocation, or fractures

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16
Q

Soft tissue damage in spinal cord can result in

A

Instability

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17
Q

Primary injuries to spinal cord result in?

A

Result from direct trauma with immediate effects

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18
Q

What are examples of primary spinal injuries

A

Neuropraxia, cord transection, spinal cord concussion

19
Q

What’s secondary spinal cord injury result from

A

Occurs after swelling and ischemia have developed

20
Q

What’s example of secondary spinal cord injuries

A

Contusion, compression, spinal cord hemorrhage

21
Q

What’s spinal shock

A

Temporary condition, paralyzingly body due to body’s response to injury

22
Q

What’s the most common spinal shock

A

Hypotension due to vasodilation

23
Q

What’s transection

A

Complete or partial severing of spinal cord

24
Q

Injury below T1 will result in?

A

Incontinence and paraplegia

25
Q

Injury in the cervical region will result in?

A

Quadriplegia

26
Q

What are the two spinal injuries called

A

Spinal shock

Transection

27
Q

What are the different types of partial transection

A

Anterior cord syndrome
Central cord syndrome
Brown-sequard syndrome

28
Q

What’s anterior cord syndrome

A

Disruption of arterial blood supply

Loss of pain sensation, motor function,light touch and temp control distal to injury

29
Q

What’s central cord syndrome

A

Common in hyperextension and associated with arthritis

Decrease motor weakness and possible loss of bladder function

30
Q

Whats brown-sequard syndrome

A

Result of penetrating injury, severing one side of spinal cord

Loss of sensory and motor function on affected side; loss of pain and temp on opposite side

31
Q

What’s the best potential for recovery
Anterior cord syndrome
Central cord syndrome
Brown-sequard syndrome

A

Central cord syndrome

32
Q

What’s neurogenic shock

A

Brain loses ability to maintain control over rest of body due to cord damage

33
Q

What’s compromised with neurogenic shock

A

sympathetic nervous system and vascular system

34
Q

What’s the S&S of neurogenic shock

A

Bradycardia
Hypotension
Warm,dry, flushed skin below injury
Priapism in males

35
Q

If you don’t know the MOI what should you assume

A

Cord injury

36
Q

Should you alarm athlete if sensation is not present

A

Do not let athlete know

37
Q

What are the movement Methods called

A

Log roll method

Straddle slide method

38
Q

Helmets and shoulder pads should remain in place together or be removed together (all or none)

True or false

A

True

39
Q

How many removal device tools should you have

A

2

40
Q

How does hypovolemia occur

A

Large scale vasodilation causes pooling of blood throughout body

41
Q

What’s the result of hypovolemia

A

Decrease sympathetic response does not allow for elevated heart rate to compensate for volume loss resulting in shock

42
Q

What are the two steroids that should be administered within the first 8 hrs post injury

A

Dexamethasone and methylprednisolone

43
Q

What can steroid do for injuries

A

Can limit secondary inflammation and reduce damage that could occur as a result of swelling

44
Q

What does SCI stand for

A

Spinal cord injury