Category 6, Item 26
A 20-year-old driver wearing a seatbelt is brought to the emergency department after striking a concrete wall while asleep at the wheel. On arrival he is hemodynamically normal but has severe back pain. Physical examination is unremarkable except for tenderness to palpation over the lumbar spine. Lumbar spine films are shown.
Which of the following is the most likely associated injury?
Pancreatic injury
Spinal cord injury
Hepatic laceration
Small bowel injury
Sacral plexus injury
![Figure](https://www.canjsurg.ca/content/cjs/46/2/143/F1.medium.gif)
For the question above, select the best lettered answer of the 5 given.
For the answer and a critique of item 26 see page 149.
Footnotes
(Reproduced by permission from SESAP No. 11 2002–2004 Syllabus, Volume 1. For enrolment in the Surgical Education and Self-Assessment Program, please apply to the American College of Surgeons, 633 North St. Clair St., Chicago IL 60611-3211, USA; tel 312 202-5000; fax 312 202-5001; email postmaster{at}facs.org)