Trauma - Spine | Medical Hub

46. What is the initial management of acute spinal cord injury?

A) Spinal immobilization, MAP maintenance (85-90 mmHg), IV methylprednisolone (controversial) B) Immediate surgery C) Bed rest alone D) Traction only

47. What is the goal mean arterial pressure (MAP) in acute spinal cord injury?

A) 85-90 mmHg B) 60-65 mmHg C) 70-80 mmHg D) >100 mmHg

48. What is the most common complication after spinal cord injury?

A) Autonomic dysreflexia B) Pressure ulcers C) DVT D) Pneumonia

49. What is the trigger for autonomic dysreflexia?

A) Noxious stimulus below level of injury (bladder distention, bowel impaction) B) Pain above injury level C) Hypotension D) Infection

50. What is the first-line treatment for autonomic dysreflexia?

A) Remove noxious stimulus (empty bladder/rectum), sit patient up B) IV hydralazine C) IV nitroglycerin D) Morphine