4 Spinal Cord Injury 2026 Questions
and Answers (100% Correct Answers)
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spinal cord injuries in kids are most commonly caused by:
Ans: sports
MVA
© 2026 Assignment
diving
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GSW
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(potentially life threatening emergency!) HOB elevate 90
degrees, loosen constrictive clothing, assess for full bladder or
bowel impaction, (trigger) administer antihypertensives (may
cause stroke, MI, seizure) Ans: Autonomic Dysreflexia
spinal cord injury complications: Ans: skin breakdown
paralytic ileus
autonomic dysreflexia
pneumonia
orthostatic hypotension
spinal shock
neurogenic shock
, 2
In Autonomic dysreflexia where is the injury usually above?
Ans: t6
s/s of autonomic dysreflexia: (bladder distention) Ans:
hypertension
bradycardia
diaphoretic
© 2026 Assignment
Young adult men between ages ___ years have the greatest risk
for SCI.
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•Eighty-one percent of people with SCI are male. Ans: 16-30
•Almost ___% of patients with SCI are discharged from the
hospital to home or another non-institutional residence. Ans:
90
causes of spinal cord injuries: Ans: 42% motor vehicle
collisions
27% falls
15% violence
7% sports injuries
8% other miscellaneous cases
SCI due to cord compression by: Ans: Bone displacement
Interruption of blood supply
, 3
Traction from pulling on cord
•Penetrating trauma, such as gunshot and stab wounds, can
result in ___ and ____. Ans: tearing, transection
The initial mechanical disruption of axons as a result of
stretch or laceration is referred to as the __. The insult may be
due to cord compression by bone displacement, interruption
of blood supply to the cord, or traction resulting from pulling
on the cord. Penetrating trauma, such as gunshot and stab
wounds, can result in tearing and transection of the spinal
© 2026 Assignment
cord. Ans: primary injury
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___ refers to the ongoing, progressive damage that occurs after
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the initial injury which may include ischemia, hypoxia,
hemorrhage, or edema. The mechanism for this injury involves
a cascade of metabolic and cellular events that creates a
decrease in overall spinal cord blood flow. This results in
tissue hypoxia and secondary injury. Ans: Secondary injury
¡Several theories on what causes ongoing damage at molecular
and cellular levels: Ans: Free radical formation
Uncontrolled calcium influx
Ischemia
Lipid peroxidation
___ (cell death) occurs and sometimes may continue for weeks
or months after the initial injury. Ans: Apoptosis
Cross sectioning of spinal cord at any level results in total
motor and sensory loss in regions inferior to cut. Ans:
transection
, 4
Complete cord damage related to ___.
Hemorrhages appear within 1 hour
Infarction by 4 hours Ans: autodestruction
Secondary injury pathophysiology:
At high levels, these vasoactive substances cause vasospasms
and hypoxia, leading to subsequent necrosis. Ans: RBC and
© 2026 Assignment
PLT aggregation
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Release NE, Epi, Serotonin
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Vasoconstriction & Thrombosis
SCBF
or
Breakdown RBCs
Hgb and Iron released
Increase free radical formation
or
Neutrophils
Leukotriene production
Kallikrein System