What is a contraindication for using Ipratropium?

Shout-out to @Brandon Gonsalves & @Adrian Garland on passing their respective EPATs for fire academy and getting one step closer to the final chapter of their journey before applying to become firemen. You guys are going to crush it and will be amazing additions to the departments and communities you serve.

Your conscious, alert, and oriented adult patient was involved in a motor vehicle accident involving major rear-end impact. He was the restrained driver and is now complaining of the inability to move either of his arms. There are no obvious injuries noted. The patient is able to move both lower extremities but reports weakness and decreased sensation to the interior aspects of both thighs. The patient has diminished but present distal pulses. He only has some touch sensation, and no grips or hand/ arm movement, leading you to determine upper extremity paralysis exists. Which of the spinal injury syndromes is most likely to cause the signs and symptoms described above?

Pain from an obstructed pancreatic duct may mimic:

@Michael Boyhan Sir, went from reading to a quiz, got to this question. Which are appropriate treatments for Class II hemorrhage? (Select 3) Now i recall class 2 think 2 treatments just my personal thing to remind myself, fluids and O2 but it says select 3 so i choose as my third continue monitoring. once i was finished i checked back in the book and per the treatment it says fluids and O2. real world of course we would transport as well but i was thinking based off reading the book. the answers and feedback read as follows: Feedback Class II hemorrhage merits crystalloids, oxygen, and rapid transport. Now lets say this was on the test tomorrow should i put transport although you have prepare transport at class 3 for treatment?