TCAR Post-Test – Real Exam Questions with
Correct Answers (A+ Graded, Verified
Content)
What are the definitive options for pelvic fracture stabilization and hemorrhage control? ...Answer
Is...External Fixation
Interventional Radiology
Open reduction & Internal fixation
How are closed mid-shaft femur fractures managed? ...Answer Is...Intramedullary nail fixation
What makes a fracture comminuted? ...Answer Is...The bone is in multiple pieces
Physiologic criteria for trauma center care? ...Answer Is...SBP<90
Resp rate <10 or >29
GCS <14
What is Kinematics? ...Answer Is...The process of predicting potential injuries based on analysis of the
forces involved
Dose of energy is? ...Answer Is...The nature and amount of force
Characteristic of wounding agent? ...Answer Is...Type of energy and how it was applied
Force ...Answer Is...The dose of energy involved
Which gender is the majority of trauma? ...Answer Is...Male
,Incidence of trauma peaks at what age? ...Answer Is...Teens and young adult
Blunt trauma Classifications include? ...Answer Is...MVA
Auto vs. pedestrian
Falls
Struck by or against an object
Trauma mortality based on organ system failure? ...Answer Is...1 organ system failure=4%
2 organ system failures=32%
3 organ system failures=67%
4 organ system failures=90%
What are the four collisions? ...Answer Is...1. The vehicle
2. The occupants
3. The internal organs
4. The secondary impacts
Energy transmission in a rollover depends on? ...Answer Is...Deceleration distance
Energy is dissipated over the distance of the roll and whether or not the occupants are restrained
Car vs pedestrian injuries depend on? ...Answer Is...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 Is...Falls
Factors predicting fall injuries are? ...Answer Is...Fall height (velocity)
, Landing surface (deceleration distance)
Point of impact on the body
Wound ballistics- permanent cavity ...Answer Is...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 Is...Speed increases by approximately 20
MPH
Define Shock? ...Answer Is...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 Is...Pumps-Site of defect heart
Pipes- site of defect is artery, veins or capillaries
Fluid-intravascular, interstitial or intracellular
VS in shock? ...Answer Is...Narrow pulse pressure
Tachycardia
Low CO
How many ATP molecules are produced with oxygen & glucose? ...Answer Is...32 ATP molecules
How many ATP molecules are produced without oxygen? ...Answer Is...2 ATP molecules
Normal pH? ...Answer Is...Refernce range is 7.35-7.45, but actual normal range is 7.38-7.42
What is the footprint of shock? ...Answer Is...Lactic Acidosis
What 2 things affect the amount of oxygen availalbe to the cells? ...Answer Is...Temperature & pH,
which is the oxyhemoglobin dissociation curve
Correct Answers (A+ Graded, Verified
Content)
What are the definitive options for pelvic fracture stabilization and hemorrhage control? ...Answer
Is...External Fixation
Interventional Radiology
Open reduction & Internal fixation
How are closed mid-shaft femur fractures managed? ...Answer Is...Intramedullary nail fixation
What makes a fracture comminuted? ...Answer Is...The bone is in multiple pieces
Physiologic criteria for trauma center care? ...Answer Is...SBP<90
Resp rate <10 or >29
GCS <14
What is Kinematics? ...Answer Is...The process of predicting potential injuries based on analysis of the
forces involved
Dose of energy is? ...Answer Is...The nature and amount of force
Characteristic of wounding agent? ...Answer Is...Type of energy and how it was applied
Force ...Answer Is...The dose of energy involved
Which gender is the majority of trauma? ...Answer Is...Male
,Incidence of trauma peaks at what age? ...Answer Is...Teens and young adult
Blunt trauma Classifications include? ...Answer Is...MVA
Auto vs. pedestrian
Falls
Struck by or against an object
Trauma mortality based on organ system failure? ...Answer Is...1 organ system failure=4%
2 organ system failures=32%
3 organ system failures=67%
4 organ system failures=90%
What are the four collisions? ...Answer Is...1. The vehicle
2. The occupants
3. The internal organs
4. The secondary impacts
Energy transmission in a rollover depends on? ...Answer Is...Deceleration distance
Energy is dissipated over the distance of the roll and whether or not the occupants are restrained
Car vs pedestrian injuries depend on? ...Answer Is...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 Is...Falls
Factors predicting fall injuries are? ...Answer Is...Fall height (velocity)
, Landing surface (deceleration distance)
Point of impact on the body
Wound ballistics- permanent cavity ...Answer Is...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 Is...Speed increases by approximately 20
MPH
Define Shock? ...Answer Is...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 Is...Pumps-Site of defect heart
Pipes- site of defect is artery, veins or capillaries
Fluid-intravascular, interstitial or intracellular
VS in shock? ...Answer Is...Narrow pulse pressure
Tachycardia
Low CO
How many ATP molecules are produced with oxygen & glucose? ...Answer Is...32 ATP molecules
How many ATP molecules are produced without oxygen? ...Answer Is...2 ATP molecules
Normal pH? ...Answer Is...Refernce range is 7.35-7.45, but actual normal range is 7.38-7.42
What is the footprint of shock? ...Answer Is...Lactic Acidosis
What 2 things affect the amount of oxygen availalbe to the cells? ...Answer Is...Temperature & pH,
which is the oxyhemoglobin dissociation curve
