Spinal Injury—Immobilization & Monitoring MCQ Quiz | Trauma & Critical Care

Welcome to this specialized multiple-choice quiz on Spinal Injury, focusing on Immobilization and Monitoring. Designed for MBBS students, this quiz assesses your understanding of critical principles in trauma care. Properly managing a patient with a suspected spinal cord injury is paramount to preventing secondary damage and improving outcomes. This quiz covers essential topics such as pre-hospital immobilization techniques, clinical clearance criteria like NEXUS and the Canadian C-Spine Rule, the pathophysiology of spinal and neurogenic shock, and crucial monitoring parameters. Test your knowledge across 25 meticulously crafted questions to reinforce your learning and prepare for clinical scenarios. After completing the quiz, you can review your score and download all questions with their correct answers in a PDF format for future reference and study.

1. What is the primary goal of pre-hospital spinal immobilization in a trauma patient?

2. In the NEXUS criteria for clearing the cervical spine, which of the following is NOT one of the five low-risk criteria?

3. Neurogenic shock is characterized by which of the following hemodynamic changes?

4. Which dermatome corresponds to the level of the nipple line?

5. The presence of “sacral sparing” in a spinal cord injury patient indicates:

6. What is the initial imaging modality of choice for a suspected bony cervical spine injury in a hemodynamically stable trauma patient?

7. A patient with a high thoracic spinal cord injury suddenly becomes hypertensive, bradycardic, and complains of a pounding headache. This is most characteristic of:

8. Which of the following is a potential complication of prolonged immobilization on a rigid backboard?

9. According to the ASIA Impairment Scale, a patient with a spinal cord injury who has motor function preserved below the neurological level, with more than half of key muscles having a muscle grade less than 3, is classified as:

10. Spinal shock is best defined as:

11. Which myotome is responsible for elbow flexion?

12. The log-roll technique requires a minimum of how many trained personnel?

13. The use of high-dose methylprednisolone in acute spinal cord injury is:

14. Priapism in the context of acute spinal trauma is a sign of:

15. A patient presents with loss of motor function and pain/temperature sensation below the level of injury, but preserves proprioception and vibration sense. This pattern is characteristic of:

16. When monitoring a patient with a high cervical spine injury (e.g., C3-C5), what is the most critical system to assess frequently?

17. Which device is used for immobilizing a patient for extrication from a seated position (e.g., a car) but is not intended for long-term transport?

18. The Canadian C-Spine Rule is not applicable to patients who:

19. The initial management of hypotension in a patient with suspected neurogenic shock after ruling out hemorrhage is:

20. Central cord syndrome typically presents with:

21. To clear a C-spine clinically in an obtunded patient (e.g., due to head injury), what is the most appropriate next step if the initial CT is negative?

22. Which of the following is a key component of manual in-line stabilization (MILS)?

23. In a patient with a suspected spinal cord injury, a Mean Arterial Pressure (MAP) goal is often targeted to improve spinal cord perfusion. What is the commonly recommended target MAP?

24. What is the most common cause of autonomic dysreflexia in a patient with a spinal cord injury above T6?

25. Brown-Séquard syndrome results from hemisection of the spinal cord and is characterized by: