TCRN EXAM Top Tier Correctly Answered and
Graded Excellently 100% A+
4 E's in Prevention Programs - CORRECT ANSWER ✔️✔️ -Engineering
Enforcement
Educational
Economic
Abdominal Compartment Syndrome (ACS) - CORRECT ANSWER ✔️✔️ -Increased abdominal pressure
Symptoms:
Decreased Urinary Output
Decreased BP
Increased Central Venous Pressures
Increased Systemic Vascular Resistance
Respiratory acidosis
ABI Measurements - CORRECT ANSWER ✔️✔️ -Greater than 0.9 : Normal
0.6 - 0.9 : Mild
0.3 - 0.6 : Moderate
Less than 0.3 : Critical Ischemia
,Acute Kidney Injury (AKI) - CORRECT ANSWER ✔️✔️ -Rapid loss of renal function due to damage to
the kidneys
Acute Respiratory Distress Syndrome (ARDS) - CORRECT ANSWER ✔️✔️ -Inflammatory response
causing
Progressive alveolitis and fibrosis leading to
Respiratory infections resulting in
Stiff, non-compliant lungs with high pressures on the ventilator
Alginates - CORRECT ANSWER ✔️✔️ -Consist of calcium and seaweed
Absorbs wound exudate
Ankle Brachial Index - CORRECT ANSWER ✔️✔️ -Ratio to determine severity of peripheral vascular
disease
ABI = Ankle SBP / Brachial SBP
Anterior Cord Injury - CORRECT ANSWER ✔️✔️ -Descending (Brain to Body)
Loss of motor function
Anterior vs Posterior Hip Dislocation - CORRECT ANSWER ✔️✔️ -Anterior - Abduction
Posterior - Adduction
Anterior vs Posterior Urethral Trauma - CORRECT ANSWER ✔️✔️ -Anterior - At end of urethra. More
common in males. Usually due to straddle injuries or external forces.
Posterior - Close to bladder. Almost always associated with pelvic fractures
,Aortic Trauma Symptoms - CORRECT ANSWER ✔️✔️ -Higher systolic in the right upper extremity
compared to the left upper. Difference of 20.
Precordial Systolic Murmur
Autonomic Dysreflexia symptoms - CORRECT ANSWER ✔️✔️ -Hypertension
Bradycardia
Headache
Goose bumps (piloerection)
Sweating above the level of the spinal injury
Cool clammy skin below the level of the spinal injury
Autonomy - CORRECT ANSWER ✔️✔️ -Ability of individual to determine his/her own course of action
ex: not receiving blood due to religious reasons
Basilar Skull Fractures - CORRECT ANSWER ✔️✔️ -Anterior Fossa fracture - Around eyes and forehead
(Could affect eyes and nose)
Middle Fossa - Around ears (Could affect hearing)
Posterior Fossa - Posterior portion of the head (Could lose gag reflex, or movement of the neck or tongue)
Beck's Triad - CORRECT ANSWER ✔️✔️ -Muffled heart tones
Systemic Hypotension
Distended neck veins
Beneficence - CORRECT ANSWER ✔️✔️ -Duty of health care providers to be a benefit to the patients
, ex: prevent or remove harm from the patient
Blood Loss Grades - CORRECT ANSWER ✔️✔️ -I - Loss of 15% with normal BP
II - Loss of 15-30% with normal BP
III - Loss: of 31-40% with lowered BP
IV - Loss > 40% with hemodynamic instability
Blood Transfusion in Peds - CORRECT ANSWER ✔️✔️ -One unit of blood is 10ml/kg
Blunt Cardiac Injury - CORRECT ANSWER ✔️✔️ -Symptoms: CP, ST elevation, Right sided heart failure
Treatment: Positive Inotropes (Ex: Dobutamine)
Brown-Sequard Injury - CORRECT ANSWER ✔️✔️ -Loss of motor function on same side of injury
Loss of pain and temp on opposite side of injury
BUN to Creatinine Ratio - CORRECT ANSWER ✔️✔️ -Normal - 10:1
Indicated effective renal function
Carbon Monoxide (CO) Poisoning - CORRECT ANSWER ✔️✔️ -5-10% - Headache, dizziness
10-20% - Dyspnea, N/V, Flushed skin
20-40% - Confusion, Lethargy, Angina
40-60% - Dysrhythmias, Seizures, Coma
>60% - Cherry-red skin, Death
Cardiogenic Shock - CORRECT ANSWER ✔️✔️ -Inadequate cardiac output
ex: blunt cardiac trauma
Graded Excellently 100% A+
4 E's in Prevention Programs - CORRECT ANSWER ✔️✔️ -Engineering
Enforcement
Educational
Economic
Abdominal Compartment Syndrome (ACS) - CORRECT ANSWER ✔️✔️ -Increased abdominal pressure
Symptoms:
Decreased Urinary Output
Decreased BP
Increased Central Venous Pressures
Increased Systemic Vascular Resistance
Respiratory acidosis
ABI Measurements - CORRECT ANSWER ✔️✔️ -Greater than 0.9 : Normal
0.6 - 0.9 : Mild
0.3 - 0.6 : Moderate
Less than 0.3 : Critical Ischemia
,Acute Kidney Injury (AKI) - CORRECT ANSWER ✔️✔️ -Rapid loss of renal function due to damage to
the kidneys
Acute Respiratory Distress Syndrome (ARDS) - CORRECT ANSWER ✔️✔️ -Inflammatory response
causing
Progressive alveolitis and fibrosis leading to
Respiratory infections resulting in
Stiff, non-compliant lungs with high pressures on the ventilator
Alginates - CORRECT ANSWER ✔️✔️ -Consist of calcium and seaweed
Absorbs wound exudate
Ankle Brachial Index - CORRECT ANSWER ✔️✔️ -Ratio to determine severity of peripheral vascular
disease
ABI = Ankle SBP / Brachial SBP
Anterior Cord Injury - CORRECT ANSWER ✔️✔️ -Descending (Brain to Body)
Loss of motor function
Anterior vs Posterior Hip Dislocation - CORRECT ANSWER ✔️✔️ -Anterior - Abduction
Posterior - Adduction
Anterior vs Posterior Urethral Trauma - CORRECT ANSWER ✔️✔️ -Anterior - At end of urethra. More
common in males. Usually due to straddle injuries or external forces.
Posterior - Close to bladder. Almost always associated with pelvic fractures
,Aortic Trauma Symptoms - CORRECT ANSWER ✔️✔️ -Higher systolic in the right upper extremity
compared to the left upper. Difference of 20.
Precordial Systolic Murmur
Autonomic Dysreflexia symptoms - CORRECT ANSWER ✔️✔️ -Hypertension
Bradycardia
Headache
Goose bumps (piloerection)
Sweating above the level of the spinal injury
Cool clammy skin below the level of the spinal injury
Autonomy - CORRECT ANSWER ✔️✔️ -Ability of individual to determine his/her own course of action
ex: not receiving blood due to religious reasons
Basilar Skull Fractures - CORRECT ANSWER ✔️✔️ -Anterior Fossa fracture - Around eyes and forehead
(Could affect eyes and nose)
Middle Fossa - Around ears (Could affect hearing)
Posterior Fossa - Posterior portion of the head (Could lose gag reflex, or movement of the neck or tongue)
Beck's Triad - CORRECT ANSWER ✔️✔️ -Muffled heart tones
Systemic Hypotension
Distended neck veins
Beneficence - CORRECT ANSWER ✔️✔️ -Duty of health care providers to be a benefit to the patients
, ex: prevent or remove harm from the patient
Blood Loss Grades - CORRECT ANSWER ✔️✔️ -I - Loss of 15% with normal BP
II - Loss of 15-30% with normal BP
III - Loss: of 31-40% with lowered BP
IV - Loss > 40% with hemodynamic instability
Blood Transfusion in Peds - CORRECT ANSWER ✔️✔️ -One unit of blood is 10ml/kg
Blunt Cardiac Injury - CORRECT ANSWER ✔️✔️ -Symptoms: CP, ST elevation, Right sided heart failure
Treatment: Positive Inotropes (Ex: Dobutamine)
Brown-Sequard Injury - CORRECT ANSWER ✔️✔️ -Loss of motor function on same side of injury
Loss of pain and temp on opposite side of injury
BUN to Creatinine Ratio - CORRECT ANSWER ✔️✔️ -Normal - 10:1
Indicated effective renal function
Carbon Monoxide (CO) Poisoning - CORRECT ANSWER ✔️✔️ -5-10% - Headache, dizziness
10-20% - Dyspnea, N/V, Flushed skin
20-40% - Confusion, Lethargy, Angina
40-60% - Dysrhythmias, Seizures, Coma
>60% - Cherry-red skin, Death
Cardiogenic Shock - CORRECT ANSWER ✔️✔️ -Inadequate cardiac output
ex: blunt cardiac trauma
