TNCC 9TH EDITION CORRECT FINALS QUESTIONS
AND ANSWERS SET A+
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
Hemoptysis, ineffective cough, crackles in affected lung, hypoxia/hypercapnia, and
alveolar opacities are signs of what? -✔✔Pulmonary Contusion
Paradoxical chest wall movement, bony crepitus, rib segment depressed with inhalation
and elevated with exhalation are signs of what? -✔✔Flail Chest (caused by chest wall
injury)
Open wound on chest wall resulting in sucking sound, decreased breath sounds, chest
movement, and hyper-resonance ipsilaterally, subcutaneous emphysema, and
tachycardia are signs of what? -✔✔Open Pneumothorax
AND ANSWERS SET A+
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
Hemoptysis, ineffective cough, crackles in affected lung, hypoxia/hypercapnia, and
alveolar opacities are signs of what? -✔✔Pulmonary Contusion
Paradoxical chest wall movement, bony crepitus, rib segment depressed with inhalation
and elevated with exhalation are signs of what? -✔✔Flail Chest (caused by chest wall
injury)
Open wound on chest wall resulting in sucking sound, decreased breath sounds, chest
movement, and hyper-resonance ipsilaterally, subcutaneous emphysema, and
tachycardia are signs of what? -✔✔Open Pneumothorax
