Term
| What are the 3 different types of MOI's for spinal trauma? |
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Definition
| positive, negative, uncertain |
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Term
| What type of MOI classification would be a fall greater that 3 times a patients height? |
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Definition
|
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Term
| What would be an example of a negative MOI for a SCI? |
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Definition
| isolated soft tissue injury |
|
|
Term
| how many bones are in the spinal column? |
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Definition
|
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Term
| What parts of the spinal column are fused |
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Definition
|
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Term
| Ligaments of the spine provide support for what types of movements? |
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Definition
|
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Term
| Where do the spinal roots pass out of the vertebral column? |
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Definition
|
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Term
| The first vertebra is also called? |
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Definition
|
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Term
| The second vertebra is also called |
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Definition
|
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Term
| At what point in the spine does the head rotate 180 degrees? |
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Definition
|
|
Term
| what is the normal degree of flexion for the head? |
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Definition
|
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Term
| What is the normal degree of extension for the head? |
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Definition
|
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Term
|
Definition
| vertical compression of the vertebra |
|
|
Term
| Where is an axial loading injury most commonly found? |
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Definition
|
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Term
| What is another term for cervial vertebra dislocation? |
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Definition
|
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Term
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Definition
|
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Term
| What kind of injury would be a distraction injury? |
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Definition
|
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Term
|
Definition
| a complete or incomplete lesion to the spinal cord |
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Term
| Sprains are an injury to what? |
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Definition
|
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Term
| strains are an injury to what? |
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Definition
|
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Term
| A fall and a fracture of both heels is associated with what type of spinal fracture? |
|
Definition
|
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Term
|
Definition
| spinal cord injury without radiological abnormality |
|
|
Term
| What group of patients is commonly associated with sciwora? |
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Definition
|
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Term
| What is the most common hyperextension strain |
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Definition
|
|
Term
| What is the most commonly injured spinal regions? |
|
Definition
|
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Term
| What type of fractures are hyperflexion injuries |
|
Definition
|
|
Term
| where do wedge shape fx most commonly occur |
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Definition
|
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Term
| What are the most unstable injuries of the spine |
|
Definition
| teardrop fx with dislocation |
|
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Term
| What type of spinal fx is associated with neuro damage |
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Definition
|
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Term
|
Definition
| Its the actual primary cause of an injury |
|
|
Term
| What is a secondary injury |
|
Definition
| injury related to the effects of the primary injury i.e swelling, bone fragments ect. |
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Term
| A cord lesions with the absence of pain pressure or sensation |
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Definition
|
|
Term
| cord lesions also are known as |
|
Definition
| transection -complete or incomplete |
|
|
Term
| Syndrome resulting in paralysis of the arms and preservation of sensory or voluntary motor function of the perineum, buttocks, scrotum or anus |
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Definition
|
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Term
| Syndrome of which you have a hemitransection of the spinal cord. pt presents with weakness of the upper and lower extremities on the same side and loss of sensation of the opposite side |
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Definition
|
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Term
| What drug is the only routinely used for patients with SCI |
|
Definition
|
|
Term
| A synthetic sterioid that reduces post traumatic spinal cord edema and inflamation |
|
Definition
|
|
Term
| When would you see a patient not being able to relfex |
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Definition
|
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Term
|
Definition
| It is a reflex of the foot of which the great toe bends upward and the smaller toes flair. |
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Term
| Up to what age can you use babinskis sign on and expect a normal reponse |
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Definition
|
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Term
| A positive bambiski sign might signifiy what in adult patients |
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Definition
|
|
Term
| What percent of patients a SCI present with a normal response to motor sensory and reflex exams |
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Definition
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Term
| What is another name for a short spine board |
|
Definition
|
|
Term
| What is the best way to ensure spinal immobilization |
|
Definition
|
|
Term
| What do you need to remember when long boarding peds patients |
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Definition
|
|
Term
| Generally what type of helmet must be removed early in the assessment process |
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Definition
|
|
Term
| Type of hypotension that is caused by a sympathic tone of the vessels |
|
Definition
| Neurogenic hypotension (neurogenic shock) |
|
|
Term
| A temp loss of all types of spinal cord function distal to the injur |
|
Definition
|
|
Term
| when does spinal shock normally resolve itself |
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Definition
|
|
Term
| what are s&s of spinal shock |
|
Definition
| flaccid, hypotension, loss of bowl and bladder control, priapism, and loss of thermo regulation |
|
|
Term
| What is the treatment of spinal shock |
|
Definition
| trendelenburg postion and crystalloids solution |
|
|
Term
| another term for neurogenic hypotension |
|
Definition
|
|
Term
| what results from the blockade of the vasoregulatory fibers, and motor/senosory fibers |
|
Definition
|
|
Term
| What are s&S of neurgenic shock |
|
Definition
| slight hypotension (80-100 mm Hg systolic) warm dry and pink skin and reletave bradycardia |
|
|
Term
| This syndrome is often caused by distnded bladder or rectum |
|
Definition
| Autonomic hyperreflexia syndrome |
|
|
Term
| What is common s&s of anutonomic hyperreflexia syndrome |
|
Definition
| HTN up to 300 mm Hg, pounding headache, blurred vission, sweating, bradycardia (30-40 ppm) distended bladder or rectum |
|
|
Term
| This syndrome is often relieved by emptying of the bladder or bowel |
|
Definition
| Autonomic hyperreflexia syndrome |
|
|
Term
| What % of the US pop. experiences lower back pain |
|
Definition
|
|
Term
| The term for pain in the lumbar nerve with neruo motor sensory deficits in the thigh and leg |
|
Definition
|
|
Term
| Low back pn occurs in these typical vertebra? |
|
Definition
|
|
Term
| Degeerative disk disease occurs typically at what age |
|
Definition
|
|
Term
| This is a structural defect of the spine and involves the lamina or vertbral arch |
|
Definition
| Spondylosis (stress fx are common) |
|
|
Term
| This refers to a tear in the posterior rim of the capsule that encloses the gelatious center of the disk |
|
Definition
| herniated intervertebral disk |
|
|
Term
| Herniated disk is frequently caused by |
|
Definition
|
|
Term
| How do spinal cord tumors develop |
|
Definition
| cord compression, degenerative changes in the bones and joints or interuption of blood to the cord |
|
|
Term
| The finger like proces of the second vertebra around whch the first cervical vertebra rotates is the |
|
Definition
|
|
Term
| Cerebrospinal fluid circulates throug which meningeal layer |
|
Definition
|
|
Term
| The first spinous proces that you can palpate just above the sholders is |
|
Definition
|
|
Term
| THe phrenic nerve is comprised of peripheral nerve roots |
|
Definition
|
|
Term
| Patient present with loss of motor function and sensation to pain, light touch, and temperature below T1 while retaining positional and vibration sense, he has most likely sustaned a |
|
Definition
|
|
Term
| What type of nervous stimulation causes priapism |
|
Definition
| Parasympathetic stimulation |
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