TCRN EXAM QUESTIONS WITH 100% CORRECT VERIFIED
ANSWERS LATEST UPDATED 2025/2026 A COMPLETE
SOLUTION BEST GRADED TO SCORE A+ FOR SUCCESS
Kehr's sign CORRECT ANSWERS
Referred left shoulder pain, usually indicates a splenic injury
Base deficit CORRECT ANSWERS
Base deficit more than -6 indicates the need for agressive resuscitation and
determination of the etiology
CXR CORRECT ANSWERS
Most important tool providing useful information in the early minutes. Can
identify major sources of blood loss from injuries in the chest or elevated
diaphragm with displacement of abdominal organs
Tracheobronchial injury CORRECT ANSWERS
Should be suspected if after chest tube placement a significant air leak is present
Diagnostic Peritoneal Lavage CORRECT ANSWERS
Alternative to FAST scan to detect abd bleeding. A urinary catheter and gastric
tube should be in place prior to procedure.
FAST CORRECT ANSWERS
Focused Assessment with Sonography in Trauma. Used to detect free fluid in
peritoneum or hemoperitoneum. Free fluid appears "black" on the screen. Has
replaced DPL when available.
Positive FAST scan CORRECT ANSWERS
Hemodynamically unstable trauma patient with a positive fast are taken directly
to the OR for laparotomy
Ultrasound abd exam CORRECT ANSWERS
, TCRN EXAM QUESTIONS WITH 100% CORRECT VERIFIED
ANSWERS LATEST UPDATED 2025/2026 A COMPLETE
SOLUTION BEST GRADED TO SCORE A+ FOR SUCCESS
Not useful to detect injuries to the diaphragm, intestine and pancreas. In patients
with obesity, ascites and/or subQ emphysema the accuracy is reduced.
CT scan CORRECT ANSWERS
Hemodynamically stable patients may be taken to CT
Angiography CORRECT ANSWERS
Embolization is useful in treating patient with unstable pelvic fractures, liver and
splenic hemorrhage. Use of hybrid OR suites to allow for surgical and
interventional radiology methods of treatment simultaneously.
Diagnostic laparoscopy CORRECT ANSWERS
Can be used to detect or exclude finding so f hemoperitoneum, organ injury,
intestinal spillage or peritoneal penetration. Most useful in evaluating possible
diaphragmatic injuries, espectially in penetrating thoracoabdominal injuries on
the left site
Diaphragmatic injuries CORRECT ANSWERS
Usually resultant of penetrating throacoabdominal injuries on the left side,
including 11-12 rib fractures on the left.
Small intestine injuries CORRECT ANSWERS
Result from shearing forces in MVC or direct blows that crush intestine between
force and the vertebrae. Most commonly intra-abd injury in penetrating trauma.
Occurs often with spinal injury. Pancreatic/solid organ injury are predictive of
increased risk for hollow viscus injury. Signs of peritonitis develop. Any blow to
the abd/penetrating injury to the lower chest/abd should increase suspicion of
injury
Treatment of small intestine injury CORRECT ANSWERS
ANSWERS LATEST UPDATED 2025/2026 A COMPLETE
SOLUTION BEST GRADED TO SCORE A+ FOR SUCCESS
Kehr's sign CORRECT ANSWERS
Referred left shoulder pain, usually indicates a splenic injury
Base deficit CORRECT ANSWERS
Base deficit more than -6 indicates the need for agressive resuscitation and
determination of the etiology
CXR CORRECT ANSWERS
Most important tool providing useful information in the early minutes. Can
identify major sources of blood loss from injuries in the chest or elevated
diaphragm with displacement of abdominal organs
Tracheobronchial injury CORRECT ANSWERS
Should be suspected if after chest tube placement a significant air leak is present
Diagnostic Peritoneal Lavage CORRECT ANSWERS
Alternative to FAST scan to detect abd bleeding. A urinary catheter and gastric
tube should be in place prior to procedure.
FAST CORRECT ANSWERS
Focused Assessment with Sonography in Trauma. Used to detect free fluid in
peritoneum or hemoperitoneum. Free fluid appears "black" on the screen. Has
replaced DPL when available.
Positive FAST scan CORRECT ANSWERS
Hemodynamically unstable trauma patient with a positive fast are taken directly
to the OR for laparotomy
Ultrasound abd exam CORRECT ANSWERS
, TCRN EXAM QUESTIONS WITH 100% CORRECT VERIFIED
ANSWERS LATEST UPDATED 2025/2026 A COMPLETE
SOLUTION BEST GRADED TO SCORE A+ FOR SUCCESS
Not useful to detect injuries to the diaphragm, intestine and pancreas. In patients
with obesity, ascites and/or subQ emphysema the accuracy is reduced.
CT scan CORRECT ANSWERS
Hemodynamically stable patients may be taken to CT
Angiography CORRECT ANSWERS
Embolization is useful in treating patient with unstable pelvic fractures, liver and
splenic hemorrhage. Use of hybrid OR suites to allow for surgical and
interventional radiology methods of treatment simultaneously.
Diagnostic laparoscopy CORRECT ANSWERS
Can be used to detect or exclude finding so f hemoperitoneum, organ injury,
intestinal spillage or peritoneal penetration. Most useful in evaluating possible
diaphragmatic injuries, espectially in penetrating thoracoabdominal injuries on
the left site
Diaphragmatic injuries CORRECT ANSWERS
Usually resultant of penetrating throacoabdominal injuries on the left side,
including 11-12 rib fractures on the left.
Small intestine injuries CORRECT ANSWERS
Result from shearing forces in MVC or direct blows that crush intestine between
force and the vertebrae. Most commonly intra-abd injury in penetrating trauma.
Occurs often with spinal injury. Pancreatic/solid organ injury are predictive of
increased risk for hollow viscus injury. Signs of peritonitis develop. Any blow to
the abd/penetrating injury to the lower chest/abd should increase suspicion of
injury
Treatment of small intestine injury CORRECT ANSWERS
