A 20-year-old athlete is involved in a motorcycle crash after having ridden for hours
on a very hot day. When he arrives in the emergency department, he shouts that he
cannot move his legs. On physical examination, there are no abnormalities of the
chest, abdomen, or pelvis. The patient has no sensation in his legs and cannot move
them, but his arms are moving. The patient's respiratory rate is 22, heart rate is 88, and
blood pressure is 80/60 mm Hg. He is pale and sweaty. What is the most likely cause
of his hypotension?
a. neurogenic shock
b. cardiac tamponade
c. myocardial contusion
d. Hyperthermia
e. hemorrhagic shock
Which one of the findings below requires a definitive airway in trauma patients?
a. facial lacerations
b. repeated vomiting
c. partial thickness facial burns, cough, and hoarseness
d. sternal fracture
e. Glasgow Coma Scale score of 12
40. In a patient with a spinal cord injury, sacral sparing:
refers to a fracture of the sacrum is part of the spinal shock syndrome
a.
b.
c.
1-10
1-11. (a)
1-12. (a)
is a good prognostic sign
d. indicates a complete spinal cord injury
occurs only with complete transection of the lumbosacral spinal cord