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A 20-year-old athlete is involved in a motorcycle crash after having ridden for hours on a
very hot day. When he arrives in the emergency department, he shouts that he cannot move
his legs. On physical examination, there are no abnormalities of the chest, abdomen, or
pelvis. The patient has no sensation in his legs and cannot move them, but his arms are
moving. The patient's respiratory rate is 22, heart rate is 88, and blood pressure is 80/60
mmHg. He is pale and sweaty. What is the most likely cause of his hypotension?
, A. Neurogenic shock
B. Cardiac tamponade
C. Myocardial contusion
D. Hyperthermia
E. Hemorrhagic shock
E
Compared with adults, children have:
A. A longer, wider, funnel-shaped airway
B. A less pliable, calcified skeleton
C. Greater mobility of mediastinal structures
D. A relatively smaller head and larger jaw
E. Anterior displacement of C5 on C6
C
Which one of the findings below requires a definitive airway in trauma patients?
A. Facial lacerations
B. Repeated vomiting
C. Partial thickness facial burns, cough, and hoarseness
D. Sternal fracture
E. Glasgow Coma Scale score of 12
C
In a patient with spinal cord injury, sacral sparing:
A. Refers to a fracture of the sacrum
B. Is part of the spinal shock syndrome
C. Is a good prognostic sign
D. Indicates a complete spinal cord injury
E. Occurs only with complete transection of the lumbosacral spinal cord
C
A 22-year-old woman falls while skiing. She is evaluated at a small community hospital that
does not have neurological services. Spinal motion is restricted, supplemental oxygen by
mask is administered, and two antecubital IVs are placed. Her Glascow Coma Scale score is