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POSTEST ATLS QUESTIONS AND ANSWERS GRADED A+
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QUESTION: An 8-yrear old girl is an unrestrained passenger in a vehicle struck from behind. In the emergency department her blood pressure is 80/60 mm Hg, heartrate is 80 beats per minute and respiratory rate is 16 beats per minute. Her GCS score is 14. She complains that her legs feel "funny and won't move right" However, her spine x-rays do not show a fracture or dislocation. A spinal cord injury in this child: ANSWERS i) Is most likely a central cord syndrome. ii) Must be diagnosed by magnetic resonance imaging iii) Can be excluded by obtaining a C T of the entire spine iv) May exist in the absence of objective findings on X- ray studies v) Is unlikely because of the incomplete calcification of the vertebral bodies CORRECT ANSWER: iv
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