SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Cervical spine injury with neurogenic shock

A 32-year-old man is involved in an amateur mixed martial arts bout and is slammed onto the ground. He complains of immediate neck pain and is unable to move his hands or feet. Vitals: T 35.8 HR 48 BP 75/40 RR 24 SpO₂ 96% RA. He has clinical evidence of a spinal cord injury. A CT cervical spine image is provided.

Cervical spine injury with neurogenic shock

1. State two pertinent findings on the CT scan. 2 marks

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2. What is the likely diagnosis? 1 mark

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3. Name five unstable cervical spine injury patterns. 5 marks

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4. List two clinical features of spinal shock and two of neurogenic shock. 4 marks

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5. Above what spinal level is neurogenic shock likely to occur? 1 mark

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6. Outline supportive care and targets in neurogenic shock. 3 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

All responses are displayed anonymously or using anonymised avatars. You remain in full control of your answers and may withdraw them at any time.

Your personal results and updated model answers become available the day after the tutorial.

After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.