TNCC MOCK PAPER 2026 QUESTIONS AND
ANSWERS
✔✔Signs of what include muscle pain or weakness, dark red or brown urine, general
weakness or malaise, and elevated creatinine kinase levels? - ✔✔Rhabdomyolosis
✔✔Signs of what include anxiety, pleuritic chest pain, dyspnea, hypoxemia, hemoptysis,
cough, orthopnea, adventitious lung sounds, decreased lung sounds, jugular vein
distention, or hypotension? - ✔✔Pulmonary Embolus
✔✔Signs of what include headache, nausea and vomiting, amnesia, behavioral
changes, altered level of consciousness? - ✔✔Increased intracranial pressure
✔✔Signs of what include asymmetric pupillary reactivity, unilateral dilation, widening
pulse pressure, abnormal motor posturing, bradycardia, and decreased respiratory
effort? - ✔✔Late signs of increased ICP with Herniation Syndrome
✔✔What is caused by the tear of the bridging veins or middle meningeal artery? -
✔✔Subdural and Epidural Hematoma
✔✔Affect concentration, memory, sleep, mode, and libido. Causes headaches,
dizziness and nausea. - ✔✔Postconcussive Syndrome/ Mild Traumatic Brain Injury
✔✔Signs and symptoms similar to early signs of increased ICP but do not worsen. -
✔✔Postconcussive Syndrome/ Mild Traumatic Brain Injury
✔✔Cerebral Perfusion Pressure = ______-______ - ✔✔MAP - ICP
✔✔What is the range for CO2 to maximize perfusion? - ✔✔35-45
✔✔Does hypoventilation cause dilation or constriction? Increase or decrease ICP? -
✔✔Dilation and increase in ICP due to high CO2
✔✔Hyperventilation cause dilation or constriction? - ✔✔Constriction d/t low CO2
✔✔Pupils with pressure on cranial nerve - ✔✔Fixed and dilated
✔✔Pupils with opiates vs stimulants - ✔✔small; large
✔✔Pupils with anticholinergics such as atropine, ipratropium, and scopolamine -
✔✔large
, ✔✔Sluggish reaction of pupils is an early sign of what? - ✔✔Increasing ICP
✔✔Glasgow Coma Score with Mild, Moderate, and Severe TBI - ✔✔Mild = 13-15
Moderate = 9-12
Severe = 3-8
✔✔Goal value for ICP - ✔✔<15
✔✔Goal value for Cerebral Perfusion Pressure (CPP) - ✔✔>60
✔✔Le Fort Fracture - ✔✔Fracture of the maxilla
✔✔What decrease ICP by decreasing cellular edema? - ✔✔Osmotic diuretics (such as
3% saline and mannitol)
✔✔Becks Triad is a sign of what? And includes what three symptoms? - ✔✔Cardiac
Tamponade;
1. Hypotension
2. JVD
3. Muffled heart sounds
✔✔What is pulsus paradoxus? And what is it a sign of? - ✔✔Drop in blood pressure
with inspiration, sign of cardiac tamponade
✔✔Tachycarida, weak pulses, hypotension, cool periphery, delayed cap refill, anxiety
and agitation are signs of what type of shock? Seen with what? - ✔✔Obstructive Shock;
Cardiac Tamponade
✔✔Persistent blood loss following chest tube insertion is a sign of what? -
✔✔Hemothorax
✔✔Ipsilateral diminished breath sounds and chest movement is a sign of what? -
✔✔Hemothorax
✔✔Tearing chest/back pain, unequal blood pressure and pulses are a sign of what?
Caused by a high mechanism of injury. - ✔✔Thoracic Aortic Disruption
✔✔Dysrhythmia, ischemic changes, and persistent unexplained tachycardia are signs
of what? - ✔✔Myocardial contusion from Blunt Cardiac Injury
✔✔Decreased/absent breath sounds ipsilaterally, JVD, hypotension, and tracheal
deviation to the contralateral side (late sign) is seen with what? Can lead to what? -
✔✔Tension Pneumothorax; PEA
ANSWERS
✔✔Signs of what include muscle pain or weakness, dark red or brown urine, general
weakness or malaise, and elevated creatinine kinase levels? - ✔✔Rhabdomyolosis
✔✔Signs of what include anxiety, pleuritic chest pain, dyspnea, hypoxemia, hemoptysis,
cough, orthopnea, adventitious lung sounds, decreased lung sounds, jugular vein
distention, or hypotension? - ✔✔Pulmonary Embolus
✔✔Signs of what include headache, nausea and vomiting, amnesia, behavioral
changes, altered level of consciousness? - ✔✔Increased intracranial pressure
✔✔Signs of what include asymmetric pupillary reactivity, unilateral dilation, widening
pulse pressure, abnormal motor posturing, bradycardia, and decreased respiratory
effort? - ✔✔Late signs of increased ICP with Herniation Syndrome
✔✔What is caused by the tear of the bridging veins or middle meningeal artery? -
✔✔Subdural and Epidural Hematoma
✔✔Affect concentration, memory, sleep, mode, and libido. Causes headaches,
dizziness and nausea. - ✔✔Postconcussive Syndrome/ Mild Traumatic Brain Injury
✔✔Signs and symptoms similar to early signs of increased ICP but do not worsen. -
✔✔Postconcussive Syndrome/ Mild Traumatic Brain Injury
✔✔Cerebral Perfusion Pressure = ______-______ - ✔✔MAP - ICP
✔✔What is the range for CO2 to maximize perfusion? - ✔✔35-45
✔✔Does hypoventilation cause dilation or constriction? Increase or decrease ICP? -
✔✔Dilation and increase in ICP due to high CO2
✔✔Hyperventilation cause dilation or constriction? - ✔✔Constriction d/t low CO2
✔✔Pupils with pressure on cranial nerve - ✔✔Fixed and dilated
✔✔Pupils with opiates vs stimulants - ✔✔small; large
✔✔Pupils with anticholinergics such as atropine, ipratropium, and scopolamine -
✔✔large
, ✔✔Sluggish reaction of pupils is an early sign of what? - ✔✔Increasing ICP
✔✔Glasgow Coma Score with Mild, Moderate, and Severe TBI - ✔✔Mild = 13-15
Moderate = 9-12
Severe = 3-8
✔✔Goal value for ICP - ✔✔<15
✔✔Goal value for Cerebral Perfusion Pressure (CPP) - ✔✔>60
✔✔Le Fort Fracture - ✔✔Fracture of the maxilla
✔✔What decrease ICP by decreasing cellular edema? - ✔✔Osmotic diuretics (such as
3% saline and mannitol)
✔✔Becks Triad is a sign of what? And includes what three symptoms? - ✔✔Cardiac
Tamponade;
1. Hypotension
2. JVD
3. Muffled heart sounds
✔✔What is pulsus paradoxus? And what is it a sign of? - ✔✔Drop in blood pressure
with inspiration, sign of cardiac tamponade
✔✔Tachycarida, weak pulses, hypotension, cool periphery, delayed cap refill, anxiety
and agitation are signs of what type of shock? Seen with what? - ✔✔Obstructive Shock;
Cardiac Tamponade
✔✔Persistent blood loss following chest tube insertion is a sign of what? -
✔✔Hemothorax
✔✔Ipsilateral diminished breath sounds and chest movement is a sign of what? -
✔✔Hemothorax
✔✔Tearing chest/back pain, unequal blood pressure and pulses are a sign of what?
Caused by a high mechanism of injury. - ✔✔Thoracic Aortic Disruption
✔✔Dysrhythmia, ischemic changes, and persistent unexplained tachycardia are signs
of what? - ✔✔Myocardial contusion from Blunt Cardiac Injury
✔✔Decreased/absent breath sounds ipsilaterally, JVD, hypotension, and tracheal
deviation to the contralateral side (late sign) is seen with what? Can lead to what? -
✔✔Tension Pneumothorax; PEA
