Assessing and Clearing the Cervical Spine - Post Test

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Question 1 of 10

1. Question
What is the approximate incidence of cervical spine injuries amongst conscious cooperative trauma patients who attend emergency departments?
- 0-2%
- 2-4%
- 4-8%
- 8-12%
- >12%
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Question 2 of 10

2. Question
Which has the highest sensitivity for excluding cervical spine injury:
- Normal lateral film
- Normal 3 film series
- Senior Physician judgement
- Canadian C-spine rule
- NEXUS rule
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Question 3 of 10

3. Question
In the unconscious trauma patient what imaging of the cervical spine is recommended by NICE guidelines?
- 3 series plain radiographs of the cervical spine
- Lateral c-spine view followed by CT of C-spine
- MRI of the C-spine
- CT of the C-spine
- CT followed by MRI of the C-spine
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Question 4 of 10

4. Question
Which one of the following is NOT part of the Nexus Criteria?
- Age over 16
- Midline c-spine tenderness
- Presence of a distracting injury
- Under influence of alcohol or drugs
- Presence of neurology
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Question 5 of 10

5. Question
In the Canadian Cervical Spine Rules which one of the following would mandate radiology?
- Rear end shunt
- Age >60
- Cervical spine tenderness
- Delayed onset of neck pain
- Roll-over road traffic collision
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Question 6 of 10

6. Question
Which one of the following is NOT associated with wearing a cervical collar and supine immobilisation?
- Pressure sores over occiput
- Reduction in intracranial pressure
- Reduction in respiratory function (FVC and FEV1)
- Reduction in mouth opening
- Pressure sores over the sacral area
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Question 7 of 10

7. Question
Regarding the cervical spine in children, which one of the following is true?
- Cervical spine injuries in younger children (<10 years old) are more common in the lower cervical spine (C1-C4) than in older children
- The facet joints are more vertical in orientation than in adults
- Younger children (<10 years old) are more prone to spinal cord injury than older children
- Pseudosubluxation is commonest at the C3/4 level in the cervical spine of young children.
- The ligaments and joint capsules are more lax than in adults
Correct

Incorrect
Question 8 of 10

8. Question
With regard to mechanism of injury, which one of the following statements is FALSE?
- Hyperextension injury is associated with damage to the anterior column
- Facet joint dislocation may be associated with rotational injury
- The “Jefferson” fracture is associated with an axial loading mechanism
- Crush fracture of the posterior aspect of the vertebral body is associated with hyperextension injury.
- Tear drop” fractures are associated with hyperextension injury
Correct

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Question 9 of 10

9. Question
With regard to prognosis following neck sprain injury, which one of the following is associated with a better outcome?
- Female gender
- Instruction of a solicitor for the purposes of personal injury litigation
- Younger age
- Early use of a cervical collar
- The presence of neck pain and headache following injury
Correct

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Question 10 of 10

10. Question
Which one of the following statements about imaging modalities of the cervical spine is FALSE?
- MRI scanning is indicated when there is still significant clinical suspicion of injury despite normal plain x-rays
- MRI scanning is more sensitive for visualising soft tissue injury than CT scanning
- CT scanning is the primary imaging modality for unconscious patients
- Flexion / extension views should not be performed on unconscious patients.
- Plain radiographs are not adequate to exclude significant spinal injury in unconscious patients.
Correct

Incorrect

3 Comments

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Dr Fady Issa Hussain Dahalan September 9, 2023 at 4:28 pm

Informative module

Dr Emad Eltayeb Abdallatif Eltoum August 7, 2024 at 2:39 pm

nice informative well organized

Mr. Ahmed Kamal September 2, 2024 at 4:36 pm

Good module

Cervical Spine Injury

Assessing and Clearing the Cervical Spine – Post Test

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