TNCC Written Exam 92 Questions with Verified Answers
What is the best measure of the adequacy of cellular perfusion and helps predict
the outcome of resuscitation? - CORRECT ANSWER Base deficit used in
conjunction with serum lactate
Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral
vasculature? - CORRECT ANSWER Vasoconstriction
What results from tissue hypo perfusion and oxygen deficit? - CORRECT ANSWER
Metabolic acidosis
What type of shock results in generalized vasodilation? - CORRECT ANSWER
Neurogenic shock
Spinal cord injuries at C3-C5 causes loss of what nerves function, resulting in
what? - CORRECT ANSWER Phrenic nerve; paralyzed diaphragm and inability to
breath
Extremity elevation AT the level of the heart is beneficial for what type of injury? -
CORRECT ANSWER Compartment Syndrome
What is a high risk of frostbite? - CORRECT ANSWER Thrombus formation
What two medications can be administered to maintain perfusion after a frostbite
injury along with rewarming? - CORRECT ANSWER Tissue plasminogen activator or
non steroidal anti-inflammatory medication (NSAIDS)
An rise in diastolic blood pressures is a sign of increasing what? - CORRECT
ANSWER Peripheral resistance
What position will benefit the airway and work of breathing for the bariatric
patient? - CORRECT ANSWER Reverse Trendelenburg
, Which phase of a blast results from flying debris, projectiles, and bomb fragments
causing lacerations or penetrating injuries? - CORRECT ANSWER Secondary Phase
What phase of a blast results from any explosion-related illness or injury including
hyperglycemia, hypertension, angina, asthma, COPD, or sepsis? - CORRECT
ANSWER Quaternary Phase
What phase of a blast results from individuals being thrown by the blast and
impacting walls, ground, or any hard object? - CORRECT ANSWER Tertiary Phase
What phase of a blast results from impact of the over and under pressurization
wave with body surfaces. Injuries include blast lung, tympanic membrane rupture,
abdominal hemorrhage, globe rupture, and mild traumatic brain injury? -
CORRECT ANSWER Primary Phase
Signs of what include muscle pain or weakness, dark red or brown urine, general
weakness or malaise, and elevated creatinine kinase levels? - CORRECT ANSWER
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? - CORRECT ANSWER Pulmonary Embolus
Signs of what include headache, nausea and vomiting, amnesia, behavioral
changes, altered level of consciousness? - CORRECT ANSWER Increased
intracranial pressure
Signs of what include asymmetric pupillary reactivity, unilateral dilation, widening
pulse pressure, abnormal motor posturing, bradycardia, and decreased
respiratory effort? - CORRECT ANSWER Late signs of increased ICP with Herniation
Syndrome
What is caused by the tear of the bridging veins or middle meningeal artery? -
CORRECT ANSWER Subdural and Epidural Hematoma
What is the best measure of the adequacy of cellular perfusion and helps predict
the outcome of resuscitation? - CORRECT ANSWER Base deficit used in
conjunction with serum lactate
Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral
vasculature? - CORRECT ANSWER Vasoconstriction
What results from tissue hypo perfusion and oxygen deficit? - CORRECT ANSWER
Metabolic acidosis
What type of shock results in generalized vasodilation? - CORRECT ANSWER
Neurogenic shock
Spinal cord injuries at C3-C5 causes loss of what nerves function, resulting in
what? - CORRECT ANSWER Phrenic nerve; paralyzed diaphragm and inability to
breath
Extremity elevation AT the level of the heart is beneficial for what type of injury? -
CORRECT ANSWER Compartment Syndrome
What is a high risk of frostbite? - CORRECT ANSWER Thrombus formation
What two medications can be administered to maintain perfusion after a frostbite
injury along with rewarming? - CORRECT ANSWER Tissue plasminogen activator or
non steroidal anti-inflammatory medication (NSAIDS)
An rise in diastolic blood pressures is a sign of increasing what? - CORRECT
ANSWER Peripheral resistance
What position will benefit the airway and work of breathing for the bariatric
patient? - CORRECT ANSWER Reverse Trendelenburg
, Which phase of a blast results from flying debris, projectiles, and bomb fragments
causing lacerations or penetrating injuries? - CORRECT ANSWER Secondary Phase
What phase of a blast results from any explosion-related illness or injury including
hyperglycemia, hypertension, angina, asthma, COPD, or sepsis? - CORRECT
ANSWER Quaternary Phase
What phase of a blast results from individuals being thrown by the blast and
impacting walls, ground, or any hard object? - CORRECT ANSWER Tertiary Phase
What phase of a blast results from impact of the over and under pressurization
wave with body surfaces. Injuries include blast lung, tympanic membrane rupture,
abdominal hemorrhage, globe rupture, and mild traumatic brain injury? -
CORRECT ANSWER Primary Phase
Signs of what include muscle pain or weakness, dark red or brown urine, general
weakness or malaise, and elevated creatinine kinase levels? - CORRECT ANSWER
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? - CORRECT ANSWER Pulmonary Embolus
Signs of what include headache, nausea and vomiting, amnesia, behavioral
changes, altered level of consciousness? - CORRECT ANSWER Increased
intracranial pressure
Signs of what include asymmetric pupillary reactivity, unilateral dilation, widening
pulse pressure, abnormal motor posturing, bradycardia, and decreased
respiratory effort? - CORRECT ANSWER Late signs of increased ICP with Herniation
Syndrome
What is caused by the tear of the bridging veins or middle meningeal artery? -
CORRECT ANSWER Subdural and Epidural Hematoma
