Which of the following is a sign of possible head, neck, or spinal injury?

• A. Confusion or disorientation
• B. Back pain only
• C. Mild headache that goes away
• D. Strong appetite

Answer: (A)

When there’s a possibility of injury to the head, neck, or spine, changes in how the person is thinking or acting are key signs. Confusion or disorientation indicates the brain may be affected, which can happen with a concussion or more serious brain injury, and it signals the need for urgent medical evaluation. Neck or spine injuries can occur alongside head injuries, and altered mental status is a red flag that should prompt calling for professional help and careful handling.

Back pain by itself can come from many non-serious causes, and a mild headache that goes away isn’t a reliable sign of a dangerous head or neck injury. A strong appetite has no relevance to head, neck, or spinal injuries. If you suspect such an injury, keep the person still, call emergency services, monitor their breathing and level of consciousness, and avoid giving food or drink or moving them unnecessarily until help arrives.