Chapter 32 Spinal Injury and Spine Motion Restriction Ouiz

Handout 32-1 Student’s Name CHAPTER 32 QUIZ Write the letter of the best answer in the space provided. 1. All of the following are signs and symptoms in patients with spinal injuries except A. paralysis. C. hyperglycemia. B. priapism. D. incontinence. 2. The part of the nervous system located outside of the brain and spinal cord that detects sensations such as pain is the A. peripheral nervous system. C. central nervous system. B. autonomic nervous system. D. involuntary nervous system. 3. The part of the nervous system that controls involuntary functions such as heartbeat and breathing is the A. peripheral nervous system. C. central somatic system. B. autonomic nervous system. D. involuntary nervous system. 4. Sports helmets most typically open in the A. front. B. back. C. left side. D. right side. 5. In the prehospital environment, the two most likely types of helmets to be encountered are the sports helmet and the A. flight helmet. C. football helmet. B. military helmet. D. motorcycle helmet. 6. The mechanism of injury in which the vertebrae and spinal cord are stretched and pulled apart is called A. rotation. C. distraction. B. flexion. D. extension. 7. The appropriate time to initiate motion restriction of the cervical spine in the trauma victim is A. prior to opening the airway. B. after opening the airway. C. during transport. D. after insertion of an oropharyngeal airway. 8. In spinal shock, a patient’s skin is typically A. cool and dry. B. warm and dry. C. flushed and damp. D. cool and sweaty. 9. Probably the most common and reliable sign of spinal cord injury in conscious patients is A. Battle’s sign. C. raccoon sign. B. pupil dilation. D. paralysis of the extremity 10. To help maintain spine motion restriction during extrication of a patient with suspected spinal injury, the device that an EMT would apply first is the A. cervical collar. C. Kendrick extrication device. B. short spine board. D. long spine board. C H A P T E R 3 2 Spinal Injury and Spine Motion Restriction Handout 32-1 (continued) 11. The mechanism of injury in which there is severe forward movement of the head or the torso, such that it is curved excessively forward, is called A. rotation. C. distraction. B. flexion. D. extension. 12. When securing a patient to a short spine board or flexible extrication device, you should first secure the A. torso. C. shoulders. B. legs. D. head. 13. The move used to place a supine patient onto a long backboard for motion restriction is the A. blanket drag. C. firefighter’s lift. B. armpit–forearm drag. D. log roll. 14. The spinal column is composed of 33 bones called A. meninges. B. vertebrae. C. phalanges. D. carpals. 15. Which one of the following is not an indication for removing a helmet in a case of suspected head or spine injury? A. Helmet interferes with assessment of the ABCs B. Helmet fits snugly C. Patient goes into cardiac arrest D. Helmet fits loosely C H A P T E R 3 2 Spinal Injury and Spine Motion Restriction Handout 32-2 Student’s Name IN THE FIELD Review the following real-life situation. Then answer the questions that follow. You and your partner are called to the football stadium at the local high school. You arrive to find the quarterback lying in the center of the field at the 30-yard line in a supine position. Coaches are gathered around him, and one of them meets you as you exit the ambulance. This coach tells you that the quarterback has not moved since he was tackled. As you approach, you notice that none of the quarterback’s protective gear has been removed. 1. What is your general impression of the mechanism of the patient’s injury? 2. As you approach the patient, what should you do? 3. Which device(s) could you use for transporting the patient? 4. Which continuing emergency care steps would you provide for this patient? C H A P T E R 3 2 Spinal Injury and Spine Motion Restriction Handout 32-3 Student’s Name CHAPTER 32 REVIEW Write the word or words that best complete each sentence in the space provided. 1. Two major functions of the nervous system are and . 2. The structural divisions of the nervous system are the and the nervous system nervous system. 3. The functional divisions of the nervous system are the and the nervous system nervous system. 4. The _______________ _____________ gives the body its framework, supports and protects vital organs, and facilitates motion. 5. The is the principal support system of the body. 6. The spinal column is made up of 33 irregularly shaped bones called . 7. The first seven vertebrae, which form the neck, are called the ______________________ . 8. When using a backboard or full-body vacuum mattress, cervical _________________________ ___________________ must not be discontinued until the patient is completely secured to the device. 9. A condition referred to as shock inhibits neural transmissions to the arteries and arterioles. 10. If neurogenic shock is caused by spinal cord injury, it may also be called shock. 11. is a persistent erection of the penis resulting from damage to the spinal nerves to the genitals. 12. Damage to the spinal cord and neck can produce complete paralysis of the entire body; the medical term used to describe this condition is _________________ 13. . Paralysis to only one side of the body, which is more common in head injuries and stroke, is called . C H A P T E R 3 2 Spinal Injury and Spine Motion Restriction