Emergency Medical Technician (EMT) Trauma Practice Test

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Following a high-speed motor vehicle collision, a 28-year-old male presents with a suspected spinal cord injury. What is a significant indicator of such injury?

absent Babinski reflex
positive Orthostatic test
priapism
spontaneous shivering

The correct answer is: priapism

Priapism is a significant indicator of a suspected spinal cord injury. It is the persistent, painful erection of the penis that is unrelated to sexual arousal. This condition can occur due to disruption of the spinal cord pathways controlling erection. In the context of a high-speed motor vehicle collision, priapism can indicate damage to the sacral spinal cord, raising concerns for a spinal cord injury. Absent Babinski reflex, positive Orthostatic test, and spontaneous shivering are not typically associated with spinal cord injury.