Free Practice Quiz Question List

4 Neurologic Injury in Trauma Online Quiz Questions

Use this free practice quiz with 20 questions to review 4 Neurologic Injury in Trauma, test your knowledge, and prepare for your next test or exam.

20 questions

True or false

1 point

True or false: A normal initial gross motor examination after trauma rules out spinal column injury.

A
True
B
False

Fill in the blank

1 point

A complete Glasgow Coma Scale record includes eye opening, verbal response, and .

Written response

1 point

What term describes temporary loss of reflexes and tone below a spinal cord injury?

Choose one

1 point

A patient has a Glasgow Coma Scale total of 11. Which commonly used injury category does this score fall into?

A
Mild
B
Moderate
C
Severe

True or false

1 point

True or false: Once a trauma patient is on an appropriate surface, a rigid backboard should be removed promptly rather than left in place for a prolonged period.

A
True
B
False

Written response

1 point

When intracranial pressure is monitored in severe TBI, the Brain Trauma Foundation recommends treatment for values above what threshold? Enter the threshold in mm Hg.

Choose one

1 point

A trauma patient with possible cervical spinal cord injury needs urgent airway management. Which approach is most appropriate?

A
Delay airway management until a detailed spinal examination is complete.
B
Avoid airway intervention because any neck movement is unacceptable.
C
Provide needed airway management while making a reasonable effort to limit unnecessary neck movement.
D
Remove spinal motion restriction before airway care.

Choose all

1 point

A trauma patient has no confirmed diagnosis yet. Which findings should increase suspicion for spinal cord injury? Select all that apply.

A
New weakness after trauma
B
A headache that resolves without other neurologic findings
C
Sensory loss after trauma
D
New bowel or bladder dysfunction

Choose one

1 point

After a high spinal cord injury, a patient is hypotensive and bradycardic. What is the best approach to interpreting these findings?

A
Diagnose neurogenic shock from the heart rate and blood pressure without further assessment.
B
Consider neurogenic shock, but assess for hemorrhage and other causes of shock.
C
Exclude hemorrhage because the patient has a spinal cord injury.
D
Assume that hypotension and bradycardia prove spinal shock.

Fill in the blank

1 point

Damage that develops after the initial impact because of problems such as inadequate oxygen delivery, low blood pressure, swelling, or impaired perfusion is called .

Choose all

1 point

Which measures help reduce the risk of secondary brain injury in a patient with TBI? Select all that apply.

A
Maintain oxygenation and adequate circulation.
B
Use routine, prolonged hyperventilation as a substitute for definitive care.
C
Avoid hypotension.
D
Prevent fever and monitor ventilation.

Choose one

1 point

A patient with TBI develops a falling GCS and a newly sluggish pupil. What is the most appropriate response?

A
Wait for another scheduled assessment because the change may be temporary.
B
Assume sedation is responsible and make no further assessment.
C
Promptly reassess airway, oxygenation, ventilation, and circulation, alert the relevant team, and prepare for urgent investigation and management under protocol.
D
Record only the new total GCS and defer escalation unless the patient becomes unresponsive.

Open ended

1 point

A patient with TBI becomes less responsive, and the motor component of the GCS has fallen since the baseline examination. A pupil is now sluggish. Describe how you would reassess and document the patient, and what actions you would take next.

True or false

1 point

True or false: After trauma, a normal initial gross motor and sensory examination by itself rules out all spinal injury.

A
True
B
False

Written response

1 point

What structured examination and classification framework is used by trained clinicians to determine neurologic level and injury classification in spinal cord injury?

Choose one

1 point

A patient is transferred from a rigid backboard to an appropriate hospital surface. Which action best reduces the risk associated with prolonged backboard use?

A
Keep the patient on the rigid backboard until spinal injury has been definitively ruled out.
B
Remove the backboard promptly once the patient is on an appropriate surface.
C
Avoid using a backboard even during extrication or transfer.
D
Remove the backboard only if the patient reports pain.

Choose one

1 point

A trauma patient with possible spinal injury needs urgent airway management. Which approach best balances airway care and spinal motion restriction?

A
Delay airway management until spinal imaging is complete.
B
Avoid airway care because any neck movement is unacceptable.
C
Provide needed airway care while making a reasonable effort to limit unnecessary neck movement.
D
Remove spinal motion restriction before attempting airway care.

Written response

1 point

At what intracranial pressure threshold does the Brain Trauma Foundation recommend treatment when the monitored value exceeds it? Enter the threshold as a number in mm Hg.

Choose one

1 point

A trauma patient with a possible high spinal cord injury is hypotensive and bradycardic. What should the team do before attributing the low blood pressure to neurogenic shock?

A
Look for hemorrhage and other causes before attributing the hypotension to SCI.
B
Assume the hypotension is neurogenic shock because bradycardia is present.
C
Treat the hypotension as spinal shock, which is a form of circulatory shock.
D
Defer evaluation for bleeding until the spinal cord examination is complete.

Choose one

1 point

A trauma patient is sedated and intubated during the initial neurologic examination. How should the team make the examination most useful for detecting later change?

A
Record only the total GCS because a baseline is unreliable when sedation is used.
B
Treat any later examination difference as neurologic deterioration.
C
Wait until all confounding factors have resolved before documenting any examination.
D
Document the examination limitations and compare repeat findings with the baseline.