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ATLS Module 7 - Spine & Spinal Cord Trauma Questions and Answers 2025

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ATLS Module 7 - Spine & Spinal Cord Trauma Questions and Answers 2025

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ATLS Module 7 - Spine & Spinal Cord
Trauma Questions and Answers 2025
Whatadoayouahaveatoaconsiderainaupatoa10%aofaptsawithaaacervicalaspineafx?A-
ACORRECTAANSWERSA-aasecond,anoncontiguousavertebralacolumnafx

*thereforearadiographicascreeningaofaentireaspineaisawarrantedainaptsawithacaspineafx
*redatext*
Whenacanayouasafelyadeferaevaluationaofaspinalainjury?A-ACORRECTAANSWERSA-
ifaptsaspineaisaprotected,aevaluationaofaspineaandaexclusionaofaspinalainjuryacanabeasafelyad
eferred...aespainapresenceaofasystemicainstabilityasuchaasahypotensionaandarespiratoryainad
equacy

*redatext*
Howacanayouaexcludeaspinalainjuryainapatientsawithoutaneurologicaladeficit,apainaoratendern
essaalongatheaspine,aevidenceaofaintoxication,aoraadditionalapainfulainjuries?A-
ACORRECTAANSWERSA-

absenceaofapainaoratendernessaalongaspineavirtuallyaexcludesapresenceaofasignificantaspin
alainjury
Whyashouldalongabackboardsabeaonlyausedaduringaptatransportation,aandaeveryaeffortashoul
dabeamadeatoaremoveaptafromaspineaboardsaasap?A-ACORRECTAANSWERSA-
prolongedapositioningaonaaahardabackboardawithahardacervicalacollaracanaalsoabeahazardou
s....aviaadiscomfortainaconsciousapts,aseriousadecubitusaulcers,arespiratoryacompromise

Redatext
Whatadoesatheaspinalacolumnaconsistaof?A-ACORRECTAANSWERSA-
7Acervical,A12Athoracic,a5alumbaravertebraea+asacrumaandacoccyx
Whyadoa~1/3aofaptsawithaupperacervicalainjuriesa(aboveac3)Adie?A-ACORRECTAANSWERSA-
fromaapneaacausedabyalossaofacentralainnervationaofaphrenicanerves
Howaisaaachild'sacervicalaspineamarkedlyadifferentafromathataofaanaadultsauntila~8-
12ayearsaold?A-ACORRECTAANSWERSA-
moreaflexibleajointacapsulesa&ainterspinousaligaments,aflatafacetajoints,aandavertebralabodie
saareawedgedaanteriorlyaandatendatoaslideaforwardawithaflexion
Mostathoracicaspineafxsaareawedgeacompressionafxs,anotaassociatedawithaspinalacordainjury
...Ahowever,awhatahappensawhenaaafractureadislocationadoesaoccur?A-
ACORRECTAANSWERSA-

almostaalwaysaresultsainacompleteaspinalacordainjuryabcaofathearelativelyanarrowathoracicaca
nal
Spinalacordaoriginatesaatatheacaudalaendaofamedullaaoblongataaataforamenamagnum...awhe
readoesaitausuallyaend?A-ACORRECTAANSWERSA-
nearal1abonyalevel...aakaaconusamedullaris...abelowathisaisatheacaudaaequina
Whataisaaacompleteaspinalainjury?A-ACORRECTAANSWERSA-
ptahasanoasensoryaoramotorafxabelowaaacertainalevel

, Whataisaanaincompleteaspinalainjury?A-ACORRECTAANSWERSA-
someadegreeaofamotoraorasensoryafxaremains
Whereaisatheacorticospinalatractalocatedaandawhataisatheafunction?
Howadoayouatestait?A-ACORRECTAANSWERSA-anterioraandalateralasegmentaofacord
*controlsamotorapoweraonasameasideaofabody
*testa=avoluntaryamuscleacontractionaorainvoluntaryaresponseatoapainfulastimuli
Whereaisatheaspinothalamicatractalocatedaandawhataisatheafunction?
Howadoayouatestait?A-ACORRECTAANSWERSA-anterolateralaaspectaofacord
*transmitsapainaandatemperatureasensationafromaoppositeasideaofabody
*testa=Apinprick
Whereaisatheadorsalacolumnsalocatedaandawhataisatheafunction?
Howadoayouatestait?A-ACORRECTAANSWERSA-posteromedialaaspectaofacord
*carriesapositionasensea(proprioception),avibrationasense,aandasomealightatoughasensationa
fromasameasideaofabody
*positionasenseainatoesaandafingersaoravibrationasensesausingatuningafork
Whereaisac5adermatome?A-ACORRECTAANSWERSA-areaaoveradeltoid
Whereaisat4adermatome?A-ACORRECTAANSWERSA-nipple
Whereaisatheat10adermatomealocated?A-ACORRECTAANSWERSA-umbilicus
Whereaisatheat12adermatomealocated?A-ACORRECTAANSWERSA-symphysisapubis
Whereaisatheal4adermatomealocated?A-ACORRECTAANSWERSA-medialacalf
Whereaisatheal5adermatome?A-ACORRECTAANSWERSA-
webaspaceabetweena1staanda2ndatoes
Whereaisas1adermatome?A-ACORRECTAANSWERSA-lateralaborderaofafoot
Whereaisas3adermatome?A-ACORRECTAANSWERSA-ischialatuberosity
Whereaisas4aandas5adermatome?A-ACORRECTAANSWERSA-perianalaregion
Howadoayouatestac5amyotome?A-ACORRECTAANSWERSA-biceps...aelbowaflexors
Howadoayouatestac6amyotome?A-ACORRECTAANSWERSA-wristaextension
Howadoayouatestac7amyotome?A-ACORRECTAANSWERSA-triceps...aelbowaextension
Howadoayouatestac8amyotome?A-ACORRECTAANSWERSA-fingeraflexors
Howadoayouatestat1amyotome?A-ACORRECTAANSWERSA-fingeraabduction
Howadoayouatestal2amyotome?A-ACORRECTAANSWERSA-hipaflexion
Howadoayouatestal3amyotome?A-ACORRECTAANSWERSA-kneeaextension
Howadoayouatestal4amyotome?A-ACORRECTAANSWERSA-ankleadorsiflexion
Howadoayouatestal5amyotome?A-ACORRECTAANSWERSA-longatoeaextensors
Howadoayouatestas1amyotome?A-ACORRECTAANSWERSA-ankleaplantaraflexors
Whatadoesaneurogenicashockaresultain?A-ACORRECTAANSWERSA-
lossaofavasomotoratoneaandasympatheticainnervationatoatheaheart
Physiologicaeffectsaofaneurogenicashockaareanotareversedawithafluidaresuscitationaalone...aa
ndamassivearesuscitationacanaresultainafluidaoverloadaand/orapulmonaryaedema...awhatama
yabearequiredaafteramoderateavolumeareplacement?A-ACORRECTAANSWERSA-
vasopressors
*atropineamayabeausedatoacounteractahemodynamicallyasignificantabradycardia
Whatadoesaspinalashockareferato?A-ACORRECTAANSWERSA-
flacciditya(lossaofamuscleatone)aandalossaofareflexesathataoccuraimmediatelyaafteraspinalacor
dainjury

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ATLS Module 7 - Spine & Spinal Cord Trauma Questions and Answers 2025

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