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Multiple Choice
If a person has a crush injury to the C3-C5 spinal segments, you would expect that he:
A
may lose the ability to breathe independently due to paralysis of the diaphragm
B
will have impaired fine motor control of the fingers only
C
will lose all sensation in the lower limbs but retain normal breathing
D
will experience loss of vision and hearing
Verified step by step guidance
1
Understand the anatomy of the spinal cord and its segments: The C3-C5 spinal segments are part of the cervical region of the spinal cord. These segments are crucial because they house the phrenic nerve, which controls the diaphragm, the primary muscle responsible for breathing.
Recognize the role of the diaphragm in respiration: The diaphragm contracts and relaxes to facilitate inhalation and exhalation. If the phrenic nerve is damaged due to injury at the C3-C5 level, the diaphragm may become paralyzed, leading to difficulty or inability to breathe independently.
Eliminate incorrect options based on the injury location: Fine motor control of the fingers is primarily governed by lower cervical segments (C6-C8), not C3-C5. Loss of sensation in the lower limbs is associated with injuries to the lumbar or sacral spinal cord, not the cervical region. Vision and hearing are controlled by cranial nerves and brain structures, not the spinal cord.
Correlate the injury to the expected outcome: A crush injury to the C3-C5 spinal segments can impair the phrenic nerve, leading to paralysis of the diaphragm. This would result in the inability to breathe independently, which is the most likely consequence of such an injury.
Conclude the reasoning: Based on the anatomy and physiology of the spinal cord and the diaphragm, the correct answer is that the person may lose the ability to breathe independently due to paralysis of the diaphragm.