ATLS SPINAL INJURY ASSESSMENT ACTUAL EXAM 2025| 188 QUESTIONS WITH
VERIFIED CORRECT ANSWERS
1. Which of the following are you likely to find when palpating a fracture?
Point tenderness
Significant pain
Crepitus
All of the above
2. A patient presents with weakness in elbow extension and is diagnosed with a
C7 spinal cord injury. Which rehabilitation strategy would be most
beneficial for this patient to regain function?
Strengthening wrist flexors
Focusing on deltoid exercises
Engaging in triceps strengthening exercises
Practicing shoulder abduction movements
3. Which of the following is NOT a type of thoracic fracture mentioned in the
reference document?
Anterior wedge compression
Burst injuries
Chance fractures
Transverse fractures
,4. Explain the neurological deficits associated with Brown-Sequard
syndrome.
A: Bilateral loss of motor function and sensation
B: Ipsilateral loss of motor function and proprioception,
contralateral loss of pain and temperature sensation
, C: No neurological deficits present
D: Contralateral loss of motor function and ipsilateral loss of pain
sensation
5. Which of the following components is NOT considered part of spinal
stability?
Facet joints
Interspinous ligaments
Paraspinal muscles
Vertebral arteries
6. What are the three primary reasons that at least 5% of patients may
experience the onset of neurological symptoms after arriving at the
emergency department?
Ischemia, progression of spinal cord edema, failure to adequately
immobilize
Infection, dehydration, and inadequate pain management
Psychological factors, muscle fatigue, and environmental stressors
Age-related degeneration, previous injuries, and genetic
predisposition
7. What are the two primary methods to demonstrate sacral sparing in spinal
cord injury assessment?
Sensory perception in the upper extremities and voluntary contraction
of the biceps
Sensory perception in the perianal area and voluntary contraction of the
anal sphincter
Sensory perception in the lower extremities and voluntary contraction
, of the quadriceps
VERIFIED CORRECT ANSWERS
1. Which of the following are you likely to find when palpating a fracture?
Point tenderness
Significant pain
Crepitus
All of the above
2. A patient presents with weakness in elbow extension and is diagnosed with a
C7 spinal cord injury. Which rehabilitation strategy would be most
beneficial for this patient to regain function?
Strengthening wrist flexors
Focusing on deltoid exercises
Engaging in triceps strengthening exercises
Practicing shoulder abduction movements
3. Which of the following is NOT a type of thoracic fracture mentioned in the
reference document?
Anterior wedge compression
Burst injuries
Chance fractures
Transverse fractures
,4. Explain the neurological deficits associated with Brown-Sequard
syndrome.
A: Bilateral loss of motor function and sensation
B: Ipsilateral loss of motor function and proprioception,
contralateral loss of pain and temperature sensation
, C: No neurological deficits present
D: Contralateral loss of motor function and ipsilateral loss of pain
sensation
5. Which of the following components is NOT considered part of spinal
stability?
Facet joints
Interspinous ligaments
Paraspinal muscles
Vertebral arteries
6. What are the three primary reasons that at least 5% of patients may
experience the onset of neurological symptoms after arriving at the
emergency department?
Ischemia, progression of spinal cord edema, failure to adequately
immobilize
Infection, dehydration, and inadequate pain management
Psychological factors, muscle fatigue, and environmental stressors
Age-related degeneration, previous injuries, and genetic
predisposition
7. What are the two primary methods to demonstrate sacral sparing in spinal
cord injury assessment?
Sensory perception in the upper extremities and voluntary contraction
of the biceps
Sensory perception in the perianal area and voluntary contraction of the
anal sphincter
Sensory perception in the lower extremities and voluntary contraction
, of the quadriceps
