SSM TCAR EXAM 2024 ACTUAL EXAM COMPLETE 230 QUESTIONS
WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
What are common causes of trauma death within the first 60 minutes? -
ANSWER...Tension pneumothorax, massive hemothorax, or severe brain damage
What are the causes of trauma death 2-24 hours after injury? - ANSWER...death is
caused from hemorrhage or severe brain damage
What is the cause of death in a trauma patient after 24 hours? - ANSWER...The
patient dies one cell at a time from under resuscitation. Saving these patients
requires getting O2 to them before its too late for them to recover
What is the course of action if contraband is found? - ANSWER...Notify law
enforcement of the finding & secure the items until they are handed over and a
police receipt is obtained
What is the purpose of an Advance Directive? - ANSWER...It delineates a person's
wishes regarding care and take effect when the patient is no longer able to
communicate
What is the Functional Independence Measure? - ANSWER...It quantifies
functional ability in any patient population and is widely used to document
rehabilitation progress.
What is the Glasgow Coma Scale? - ANSWER...It is used to assess patient during
and after recovery from a traumatic brain injury, stroke or neurological insult
What is the Rancho Los Amigos Scale used for? - ANSWER...It is used to assess
the level of recovery in brain injured patients and persons recovering from coma
What is the Revised Trauma Score? - ANSWER...It is a score system used to
predict probability of death after injury
What is the purpose of morbidity and mortality? - ANSWER...It is an opportunity
to examine all deaths and any unexpected adverse occurrences to identify system
weaknesses, educational deficits and judgment of behavior errors
,What is the appropriate action in a multi-causuality event? - ANSWER...Activate
the hospitals external disaster alert. The person in-charge is the incident
commander
What is the definitive treatment option for pelivc fracture stabilization? -
ANSWER...External fixation to stabilize and IVR for emboliation to control
bleeding
What is the common intervention for comminuted open tib-fib fracture? -
ANSWER...Surgical debridement and external fixation
What is the primary benefit of wearing a lap belt? - ANSWER...Prevents ejection
Car vs pedestrian injuries depend on? - ANSWER...Point of contact with the care
Height of hood & bumper
Size & weight of vehicle
Height of patient
Direction patient was facing when struck
What is the most common mechanism of injury in all age groups? -
ANSWER...Falls
Factors predicting fall injuries are? - ANSWER...Fall height (velocity)
Landing surface (deceleration distance)
Point of impact on the body
Wound ballistics- permanent cavity - ANSWER...Cavity is the a function of the
size, shape, and characteristic of the missile (mass)
For every second of fall time, speed increases by? - ANSWER...Speed increases by
approximately 20 MPH
Define Shock? - ANSWER...A state in which cellular oxygen demand exceeds
supply
When the cost of tissue oxygen is higher than the body can pay, an oxygen debt
develops.
Types of shock per TCAR? - ANSWER...Pumps-Site of defect heart
Pipes- site of defect is artery, veins or capillaries
Fluid-intravascular, interstitial or intracellular
, VS in shock? - ANSWER...Narrow pulse pressure
Tachycardia
Low CO
How many ATP molecules are produced with oxygen & glucose? - ANSWER...32
ATP molecules
How many ATP molecules are produced without oxygen? - ANSWER...2 ATP
molecules
Normal pH? - ANSWER...Refernce range is 7.35-7.45, but actual normal range is
7.38-7.42
What is the footprint of shock? - ANSWER...Lactic Acidosis
What 2 things affect the amount of oxygen availalbe to the cells? -
ANSWER...Temperature & pH, which is the oxyhemoglobin dissociation curve
Oxyhemoglobin dissociation shift to the right? - ANSWER...Acidosis, elevated
temp
More oxygen available to the cells
Oxyhemoglobin dissociation curve shift to the left? - ANSWER...Hypothermia,
alkalosis
Less oxygen available to the cells
H & H is a measure of ? - ANSWER...It is a measure of hemodilution rather than
blood loss.
What are the hormonal responses to shock? - ANSWER...Promote body water
retentions by secretion of ADH & activation of RAAS
What are the inflammatory responses to shock? - ANSWER...SIRS
Which is a production of pro-inflammatory mediators, histamine release, and
capillary leakage
Inadvertent esophageal intubation assessment findings include? -
ANSWER...Gastric distention,
absent breath sounds,
WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
What are common causes of trauma death within the first 60 minutes? -
ANSWER...Tension pneumothorax, massive hemothorax, or severe brain damage
What are the causes of trauma death 2-24 hours after injury? - ANSWER...death is
caused from hemorrhage or severe brain damage
What is the cause of death in a trauma patient after 24 hours? - ANSWER...The
patient dies one cell at a time from under resuscitation. Saving these patients
requires getting O2 to them before its too late for them to recover
What is the course of action if contraband is found? - ANSWER...Notify law
enforcement of the finding & secure the items until they are handed over and a
police receipt is obtained
What is the purpose of an Advance Directive? - ANSWER...It delineates a person's
wishes regarding care and take effect when the patient is no longer able to
communicate
What is the Functional Independence Measure? - ANSWER...It quantifies
functional ability in any patient population and is widely used to document
rehabilitation progress.
What is the Glasgow Coma Scale? - ANSWER...It is used to assess patient during
and after recovery from a traumatic brain injury, stroke or neurological insult
What is the Rancho Los Amigos Scale used for? - ANSWER...It is used to assess
the level of recovery in brain injured patients and persons recovering from coma
What is the Revised Trauma Score? - ANSWER...It is a score system used to
predict probability of death after injury
What is the purpose of morbidity and mortality? - ANSWER...It is an opportunity
to examine all deaths and any unexpected adverse occurrences to identify system
weaknesses, educational deficits and judgment of behavior errors
,What is the appropriate action in a multi-causuality event? - ANSWER...Activate
the hospitals external disaster alert. The person in-charge is the incident
commander
What is the definitive treatment option for pelivc fracture stabilization? -
ANSWER...External fixation to stabilize and IVR for emboliation to control
bleeding
What is the common intervention for comminuted open tib-fib fracture? -
ANSWER...Surgical debridement and external fixation
What is the primary benefit of wearing a lap belt? - ANSWER...Prevents ejection
Car vs pedestrian injuries depend on? - ANSWER...Point of contact with the care
Height of hood & bumper
Size & weight of vehicle
Height of patient
Direction patient was facing when struck
What is the most common mechanism of injury in all age groups? -
ANSWER...Falls
Factors predicting fall injuries are? - ANSWER...Fall height (velocity)
Landing surface (deceleration distance)
Point of impact on the body
Wound ballistics- permanent cavity - ANSWER...Cavity is the a function of the
size, shape, and characteristic of the missile (mass)
For every second of fall time, speed increases by? - ANSWER...Speed increases by
approximately 20 MPH
Define Shock? - ANSWER...A state in which cellular oxygen demand exceeds
supply
When the cost of tissue oxygen is higher than the body can pay, an oxygen debt
develops.
Types of shock per TCAR? - ANSWER...Pumps-Site of defect heart
Pipes- site of defect is artery, veins or capillaries
Fluid-intravascular, interstitial or intracellular
, VS in shock? - ANSWER...Narrow pulse pressure
Tachycardia
Low CO
How many ATP molecules are produced with oxygen & glucose? - ANSWER...32
ATP molecules
How many ATP molecules are produced without oxygen? - ANSWER...2 ATP
molecules
Normal pH? - ANSWER...Refernce range is 7.35-7.45, but actual normal range is
7.38-7.42
What is the footprint of shock? - ANSWER...Lactic Acidosis
What 2 things affect the amount of oxygen availalbe to the cells? -
ANSWER...Temperature & pH, which is the oxyhemoglobin dissociation curve
Oxyhemoglobin dissociation shift to the right? - ANSWER...Acidosis, elevated
temp
More oxygen available to the cells
Oxyhemoglobin dissociation curve shift to the left? - ANSWER...Hypothermia,
alkalosis
Less oxygen available to the cells
H & H is a measure of ? - ANSWER...It is a measure of hemodilution rather than
blood loss.
What are the hormonal responses to shock? - ANSWER...Promote body water
retentions by secretion of ADH & activation of RAAS
What are the inflammatory responses to shock? - ANSWER...SIRS
Which is a production of pro-inflammatory mediators, histamine release, and
capillary leakage
Inadvertent esophageal intubation assessment findings include? -
ANSWER...Gastric distention,
absent breath sounds,
