Blue box practice questions

1.

1 point

A patient during your OB/GYN rotation gives birth to a boy with a large cyst on his lower back. You think back to your foundations course and immediately suspect spina bifida. With regard to the boy's prognosis, you are most immediately concerned about

whether a meningocele is present, because it is the rarest form of spina bifida

whether he has contracted viral meningitis

whether a meningomyelocele is present, because it carries the most severe neurological complications

whether any laminae failed to form, because this is the most common type of spina bifida

2.

1 point

Anastomoses are significant because they

can prevent ischemia in the event of gradual arterial occlusion

prevent collateral circulation

innervate the scapular region

provide blood to the cervical spinal cord

3.

1 point

When neurons of the central nervous system are damaged,

permanent, irreversible disability may result

regrowth of the damaged neurons is facilitated by astrocyte proliferation

the proximal stumps will not regenerate

total regrowth is likely unless the area is ischemic

4.

1 point

A 32 year old female is admitted to the ER following an automotive accident. The first responders reported that she complained of severe pain in the middle of her back. She is currently stabilized but incoherent. What should you do next?

whatever your preceptor tells you to

order an MRI, because you suspect that her iliolumbar ligament was torn upon impact

order an immediate tox screen to determine if she was high when she crashed

inject her with a combination of epinephrine and amphetamine so she can tell you what brings her in today

palpate her spine and test any potential somatic dysfunctions

order an x-ray, because you suspect a compression fracture of one or more thoracic vertebral bodies

request an immediate surgical consult

5.

1 point

A 54 year old male is admitted to the ER after he was rear-ended during a traffic accident. He complains of severe neck pain, which is likely caused by

rapid hyperextension of the neck

rapid compression of his cervical IV discs

rapid hyperflexion of the neck

a severe strain of his trapezius muscle

6.

1 point

Which is true concerning cervical injury?

a radiograph is necessary to determine soft tissue injury

a cervical vertebra will self-reduce after facet jumping occurs

dislocation requires less force than fracture

fracture requires less force than dislocation

7.

1 point

A laminectomy might be performed on which of the following patients?

Patient C, who has an inguinal hernia

Patient D, who has vertebral hypertrophy

Patient B, who has a herniated nucleous pulposus

Patient A, who has a benign meningioma

Patient E, who has spina bifida occulta

8.

1 point

Following injury, a peripheral nerve cell will likely survive provided that

the vasa nervorum serving the nerve is compressed immediately following the injury

surgery is performed as soon as possible

the axon is cleanly severed so that it can easily reattach itself

its cell body is unaffected

9.

1 point

Which of the following matches a procedure with the correct location for an adult patient?

lumbar puncture, immediately superior or inferior to the spinous process of L4

CSF sampling, any IV space superior to the conus medullaris

epidural anaesthesia, immediately inferior to the spinous process of L5 or immediately inferior to the spinous process of S1 if the patient exhibits lumbarization

caudal epidural, immediately superior to the sacrum

10.

1 point

A 32 year old female is admitted to the ER following an automotive accident. The first responders reported that she complained of severe pain in the middle of her back. She is currently stabilized but incoherent. Why type of movement do you suspect was responsible for her injury?

sudden, forceful flexion

sudden, forceful rotation

sudden, forceful extension

a gradual return to the neutral position

11.

1 point

Severe hyperextension of the neck or spine could likely result in

fracture of the vertebral arches and processes

strain of the supraspinous ligaments

death

compression fracture of the vertebral bodies

rupture of an IV disc

13.

1 point

Surgery is required when peripheral nerves

are severed

are affected by a neurodegenerative disorder

are crushed

experience ischemia