TNCC FINAL PAPER QUESTIONS AND
SOLUTIONS
◉ Glasgow Coma Score with Mild, Moderate, and Severe TBI
Answer: Mild = 13-15
Moderate = 9-12
Severe = 3-8
◉ Goal value for ICP
Answer: <15
◉ Goal value for Cerebral Perfusion Pressure (CPP)
Answer: >60
◉ Le Fort Fracture
Answer: Fracture of the maxilla
◉ What decrease ICP by decreasing cellular edema?
Answer: Osmotic diuretics (such as 3% saline and mannitol)
◉ Becks Triad is a sign of what? And includes what three
symptoms?
Answer: Cardiac Tamponade;
, 1. Hypotension
2. JVD
3. Muffled heart sounds
◉ What is pulsus paradoxus? And what is it a sign of?
Answer: 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?
Answer: Obstructive Shock; Cardiac Tamponade
◉ Persistent blood loss following chest tube insertion is a sign of
what?
Answer: Hemothorax
◉ Ipsilateral diminished breath sounds and chest movement is a
sign of what?
Answer: Hemothorax
◉ Tearing chest/back pain, unequal blood pressure and pulses
are a sign of what? Caused by a high mechanism of injury.
Answer: Thoracic Aortic Disruption
SOLUTIONS
◉ Glasgow Coma Score with Mild, Moderate, and Severe TBI
Answer: Mild = 13-15
Moderate = 9-12
Severe = 3-8
◉ Goal value for ICP
Answer: <15
◉ Goal value for Cerebral Perfusion Pressure (CPP)
Answer: >60
◉ Le Fort Fracture
Answer: Fracture of the maxilla
◉ What decrease ICP by decreasing cellular edema?
Answer: Osmotic diuretics (such as 3% saline and mannitol)
◉ Becks Triad is a sign of what? And includes what three
symptoms?
Answer: Cardiac Tamponade;
, 1. Hypotension
2. JVD
3. Muffled heart sounds
◉ What is pulsus paradoxus? And what is it a sign of?
Answer: 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?
Answer: Obstructive Shock; Cardiac Tamponade
◉ Persistent blood loss following chest tube insertion is a sign of
what?
Answer: Hemothorax
◉ Ipsilateral diminished breath sounds and chest movement is a
sign of what?
Answer: Hemothorax
◉ Tearing chest/back pain, unequal blood pressure and pulses
are a sign of what? Caused by a high mechanism of injury.
Answer: Thoracic Aortic Disruption
