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CEU Quiz V—A Review of Cervical Spine Injury

Mechanisms in Athletics

 

The National Athletic Trainer’s Association Board of Certification accepts this continuing education for _.5_ hours from Medco Sports Medicine (Provider #P2504 ) provided this quiz is completed as designed. A passing score is 70% for CEU credit. A certificate of completion will be forwarded for all completed quizzes with a passing grade. It is the individual’s responsibility to properly report this and all CEU information to the NATABOC at the end of each CEU cycle. Participation is confidential.

 

 

Please rate each item on the scale of 1 to 5. (5 is the highest)

 

1. Content pertinent to Athletic Training?           1  2  3  4  5

2. Content presented at appropriate level?         1  2  3  4  5

3. Organization of materials?                             1  2  3  4  5     

4. Quiz emphasis on pertinent material?             1  2  3  4  5

 

 

NATABOC Certification Number        _______________

 

Name               _______________________________________________

Address           _______________________________________________

                        _______________________________________________

City                  ______________ State______ Zip Code_______________

 

Do you currently receive a MEDCO Catalog?               Yes / No

 

______________________________________________

 

Record answers here.

Clearly circle your answers.

 

Cervical Spine Injury

1                                            A  B  C  D

2                                            A  B  C  D

3                                            A  B  C  D

4                                            A  B  C  D

5                                            A  B  C  D

6                                            A  B  C  D

Quiz Questions

 

1. It is particularly important to determine the mechanism of injury in a conscious and alert athlete who has potentially suffered injury to the spinal cord as.

  1. Mechanism of injury, alone, indicates the need for immediate transfer of the athlete.
  2. An athlete having suffered a significant SCI may not immediately present with emergent signs and symptoms.
  3. Mechanism of injury, alone, should indicate that the sports medicine team take the most conservative steps.
  4. Both B and C are correct

 

 

2. In educating athletes about the risks of SCI, it is important to ensure that they understand.

  1. That these are freak accidents that rarely occur, the risk is minimal, and that participation in sports is safe
  2. That the risk is minimal and sports participation is safe, but that athletes who use their head to make contact dramatically increases their risk of serious injury
  3. That rules regarding spearing have been implemented to protect them more that the athlete they hit.
  4. Both B and C are correct

 

 

3. Though injury to the cervical spine rarely results from hyperextension in athletics, a possible mechanism involving hyperextension may involve?

A.     whiplash

  1. lateral bending
  2. Rotation
  3. Axial loading

 

 

4.  Which of the following is susceptible to injury from hyperflexion?

  1. Anterior longitudinal lig
  2. Posterior longitudinal lig
  3. Subclavian lig
  4. Sternocleidomastoid

5.  Injury to the spinal cord resulting from approximation of the posterior inferior aspect of adjacent vertebrae describes which of the following injury mechanisms?

  1. Axial loading
  2. Pressure gradient
  3. Pincer
  4. Compression

 

 

6 Injuries involving a combination of ___________ and __________can are exceptionally dangerous because these forces can more easily result in dislocation following disruption of supportive soft-tissue structures.

  1. Rotation and hyperextension
  2. Lateral bending and extension
  3. Flexion and Rotation
  4. Axial loading and compression

References:

1.      Associated Press.  (1996, September 24).  Tackle leaves Idaho State defensive back paralyzed.  Missoulian, p. 2C.

2.      Bell, J.  (1997, December 23).  Doctors: Brown got fast, effective care.  USA Today, p. 1C.

3.      Buchanan, L. E., Nawoczenski, D. A.  (Eds.).  (1987).  An overview.  In Spinal cord injury:  Concepts and management approaches.  (pp.  11-18).  Baltimore:  Williams & Wilkins.

4.      Gosch, H. H., Gooding, E., & Schneider, R. C.  (1972).  An experimental study of cervical spine and cord injuries.  J Trauma, 12, 570.

5.      Hanak, M., & Scott, A.  (1983).  Spinal trauma.  In Spinal cord injury:  An illustrated guide for health care professionals (pp.  24-33).  New York:  Springer.

6.      Heck, J.  (1996).  The incidence of spearing during a high school’s 1975 and 1990 football seasons.  J Athl  Train, 31(1), 31-36.

7.      Johnson, R. J.  (1991).  Anatomy of the cervical spine and its related structures.  In J. S. Torg (Ed.),  Athletic injuries to the head, neck, and face  (2nd ed.).  (pp.  371-383).  St. Louis:  Mosby.

8.      Otis, J. C., Burnstein, A. H., & Torg, S. J.  (1991).  Mechanisms and pathomechanics of athletic injuries to the cervical spine.  In J. S. Torg (Ed.), Athletic injuries to the head, neck, and face (2nd ed.).  (pp. 438-456).  St. Louis:  Mosby.

9.      Torg, J. S.  (Ed.).  (1991).  Athletic injuries to the head, neck, and face (2nd ed.).St. Louis:  Mosby.

10.  Torg, J. S. & Ramsey-Emrhein, J. A.  (1997).  Cervical spine and brachial plexus injuries: return to play recommendations.  Phy Sp Med, 25(7).  [Online]  Available http://www.physsportsmed.com/issues/1997/07jul/torg.htm.