A cross-table lateral x-ray of the cervical spine:

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Basic Care of a Paraplegic Patient Questions

Question 1 of 5

A cross-table lateral x-ray of the cervical spine:

Correct Answer: C

Rationale: The correct answer is C because visualization of all 7 cervical vertebrae and the C7 to T1 relationship is essential for proper evaluation of the cervical spine on a cross-table lateral x-ray. This allows for assessment of alignment, fractures, dislocations, and potential injuries. Option A is incorrect as the x-ray does not need to precede endotracheal intubation. Option B is incorrect as serious cervical spine injuries can still be present even if not initially seen on the x-ray. Option D is incorrect because unconscious patients with penetrating cervical injuries may still benefit from a cross-table lateral x-ray to assess for additional injuries.

Question 2 of 5

Which one of the following is not a feature of neurogenic shock?

Correct Answer: C

Rationale: The correct answer is C: Increased cardiac output. Neurogenic shock is characterized by decreased cardiac output due to disruption of sympathetic nervous system input to the heart. A is incorrect as neurogenic shock leads to decreased venous capacitance, not increased. B is incorrect as it is a feature of neurogenic shock, causing decreased systemic vascular resistance. D is incorrect as neurogenic shock typically presents with cold and clammy skin due to decreased sympathetic tone.

Question 3 of 5

A 30 year old male is stabbed in the right chest. On arrival in the ED, he is very short of breath. His HR is 120 bpm, BP is 80/50. His neck veins are flat. On auscultation of the chest, there is diminished air entry on the right side, and there is dullness posteriorly on percussion. These findings are most consistent with:

Correct Answer: A

Rationale: The correct answer is A: Hemothorax. In this scenario, the patient presents with signs of respiratory distress, tachycardia, hypotension, flat neck veins, diminished air entry on the right side, and dullness on percussion, which are indicative of a hemothorax. Hemothorax is characterized by the accumulation of blood in the pleural cavity, leading to lung compression and impaired ventilation. The symptoms align with the physical exam findings of decreased breath sounds and dullness due to blood occupying the pleural space. The absence of signs like muffled heart sounds or pulsus paradoxus rules out pericardial tamponade. The lack of tracheal deviation and mediastinal shift discounts tension pneumothorax. Hypovolemia from liver injury may present with similar vital sign abnormalities but would not manifest with specific chest exam findings like dullness on percussion. Therefore, based on the clinical presentation and exam findings, hemothorax is the

Question 4 of 5

_____ is a medical assistance program for people who have a low income or certain disabilities.

Correct Answer: B

Rationale: The correct answer is B: Medicaid. Medicaid is a government program that provides medical assistance to individuals with low income or certain disabilities. It is funded by both the federal government and individual states. Medicare (choice A) is a health insurance program for individuals aged 65 and older, as well as some younger people with disabilities. The Department of the Treasury (choice C) is responsible for managing government finances and collecting taxes, not for providing medical assistance. The Committee on the Budget (choice D) is a congressional committee responsible for setting budget guidelines, not for administering medical assistance programs.

Question 5 of 5

Which of the following statements is true of criminal laws?

Correct Answer: A

Rationale: Step-by-step rationale: 1. Criminal laws aim to protect society from harm caused by individuals or organizations. 2. They define behaviors that are considered harmful or dangerous to society. 3. Punishments are imposed to deter and prevent such behaviors. 4. Choice A is correct as criminal laws focus on safeguarding society. Summary: - Choice B is incorrect as criminal laws are not solely about resolving disputes between individuals. - Choice C is incorrect as criminal laws cover both felonies and misdemeanors, not just non-felonies. - Choice D is incorrect as criminal laws are not about setting codes of behavior and courtesy but rather focus on maintaining order and safety in society.

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