THE WRITTEN EMERGENCY MEDICINE FELLOWSHIP COURSE
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emq: trauma week 1.

Match the description of each c-spine fracture to the correct diagnosis.

​Flexion teardrop fracture
Bilateral facet joint dislocation
Clay shoveler’s fracture
Anterior subluxation injury
Wedge compression fracture




​Jefferson fracture
Unilateral facet joint dislocation
Hangman’s fracture
Posterior neural arch fracture
Extension teardrop fracture.
EMQ 1.
 
Flexion of the spine along the vertical axis causes anterior compression of a spinal body with anterior displacement of an anteroinferior fragment.
 
EMQ 2.
 
Abrupt flexion of the neck combined with contraction of the upper body and lower neck muscles avulses a segment of the C7 spinous process.
 
EMQ 3.
 
A downwards compression force transmitted through the occipital condyles displaces the lateral masses and fractures the anterior and posterior arches of the atlas.
  
EMQ 4.
 
Hyperextension causes bilateral fractures through the pedicles of C2.
 
EMQ 5.
 
Hyperextension of the head compresses C1 against C2 causes the posterior arch of c1 to fracture. The transverse ligament and anterior arch are not involved.
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