This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: C.N.S, Subject name: Medicine
[{'content': "A patient with traumatic paraplegia due to injury of the thoracic cord of 'T3 level' is observed to have blood pressure f 210/120. What should be the initial management? \nSelect and explain. \nA. Subcutaneous LMWH, B. Steroids, C. Nifedipine, D. Normal saline / Dextrose", 'role': 'user'}, {'content': 'Answer: C \nExplanation: Traumatic paraplegia is caused by a lesion of the spinal cord which occurs after a trauma, e.g. veebral fracture causing a puncture to the spinal cord. Any injury of the spinal cord may result in a condition known as autonomic dysreflexia (AD).. Autonomic dysreflexia can cause systolic blood pressure readings to increase by 20-40 mmHg. , this condition couples dangerously high blood pressure with decreased hea rates.nefidipine can be used for high blood preassures Ref Harrison20th edition pg 2378', 'role': 'assistant'}]