ATLS Version 10 Exam Questions And
Answers
Central Cord Syndrome - - - correct answer ✅dispro- portionately
greater loss of motor strength in the upper extremities than in the
lower extremities, with varying degrees of sensory loss. This
syndrome typically occurs after a hyperextension injury in a patient
with preexisting cervical canal stenosis. The mechanism is
commonly that of a forward fall resulting in a facial impact. Central
cord syndrome can occur with or without cervical spine fracture or
dislocation. The prognosis for recovery in central cord injuries is
somewhat better than with other incom- plete injuries.
Anterior cord syndrome - - - correct answer ✅characterized by
paraplegia and a bilateral loss of pain and temperature sensation.
However, sensation from the intact dorsal column (i.e., position,
vibration, and deep pressure sense) is preserved. This syndrome
has the poorest prognosis of the incomplete injuries and occurs
most commonly following cord ischemia.
Brown-Sequard Syndrome - - - correct answer ✅results from
hemisection of the cord, usually due to a penetrating trauma. In its
pure form, the syndrome consists of ipsilateral motor loss
(corticospinal tract) and loss of position sense (dorsal column),
associated with contralateral loss of pain and temperature
sensation beginning one to two levels below the level of injury
(spino-thalamic tract). Even when the syndrome is caused by a
direct penetrating injury to the cord, some recovery is usually
achieved.
, ATLS Version 10 Exam Questions And
Answers
- - - correct answer ✅Particularly during the initial treatment, all
patients with radiographic evidence of injury and all those with
neurological deficits should be considered to have an unstable
spinal injury.
Atlas (C1) Fracture - - - correct answer ✅Fractures of the atlas
represent approximately 5% of acute cervical spine fractures, and
up to 40% of atlas fractures are associated with fractures of the axis
(C2). The most common C1 fracture is a burst fracture (Jefferson
fracture).
Usually from axial loading.
Not usually associated with final cord injury
Should be treated as unstable
C1 Rotary Subluxation - - - correct answer ✅Most often seen in
children
Pt presents with persistent rotation of the head
Answers
Central Cord Syndrome - - - correct answer ✅dispro- portionately
greater loss of motor strength in the upper extremities than in the
lower extremities, with varying degrees of sensory loss. This
syndrome typically occurs after a hyperextension injury in a patient
with preexisting cervical canal stenosis. The mechanism is
commonly that of a forward fall resulting in a facial impact. Central
cord syndrome can occur with or without cervical spine fracture or
dislocation. The prognosis for recovery in central cord injuries is
somewhat better than with other incom- plete injuries.
Anterior cord syndrome - - - correct answer ✅characterized by
paraplegia and a bilateral loss of pain and temperature sensation.
However, sensation from the intact dorsal column (i.e., position,
vibration, and deep pressure sense) is preserved. This syndrome
has the poorest prognosis of the incomplete injuries and occurs
most commonly following cord ischemia.
Brown-Sequard Syndrome - - - correct answer ✅results from
hemisection of the cord, usually due to a penetrating trauma. In its
pure form, the syndrome consists of ipsilateral motor loss
(corticospinal tract) and loss of position sense (dorsal column),
associated with contralateral loss of pain and temperature
sensation beginning one to two levels below the level of injury
(spino-thalamic tract). Even when the syndrome is caused by a
direct penetrating injury to the cord, some recovery is usually
achieved.
, ATLS Version 10 Exam Questions And
Answers
- - - correct answer ✅Particularly during the initial treatment, all
patients with radiographic evidence of injury and all those with
neurological deficits should be considered to have an unstable
spinal injury.
Atlas (C1) Fracture - - - correct answer ✅Fractures of the atlas
represent approximately 5% of acute cervical spine fractures, and
up to 40% of atlas fractures are associated with fractures of the axis
(C2). The most common C1 fracture is a burst fracture (Jefferson
fracture).
Usually from axial loading.
Not usually associated with final cord injury
Should be treated as unstable
C1 Rotary Subluxation - - - correct answer ✅Most often seen in
children
Pt presents with persistent rotation of the head
