Page |1
SSM TCAR EXAM 2025/2026 NEWEST ACTUAL EXAM WITH
COMPLETE QUESTIONS AND VERIFIED ANSWERS
|ALREADY GRADED A+|
What can bloody sputum indicate? -ANSWERS-It indicates
significant airway damage, but not necessarily an expanding
hematoma
What is the "choking game"? -ANSWERS-It is a technique to
induce hypoxia, causing temporary syncope and euphoria
What is the initial priority with a rib fracture? -ANSWERS-Priority
is pain management to allow for pulmonary toilet. It is the most
important initial intervention.
What is the most ominous finding in patients with flail chest? -
ANSWERS-The most ominous finding is oxygenation failure.
Pulmonary contusions (the extent of diffusion defects) determine
injury severity to a greater degree than the actual chest wall
defect
, Page |2
What is traumatic asphyxia? -ANSWERS-It is a thoracic crushing
condition that occurs when sudden blunt trauma to the chest
forces retrograde blood blow through the superior vena cava into
the head and neck
What are the symptoms of traumatic asphyxia? -ANSWERS-
Petecial & subconjunctival hemorrhage. The face is swollen, the
face and upper torso are discolored blue-red to black-blue.
Discoloration and petechiae are prominent on eyelids, nose and
lips
What are symptoms of bowel contusions? -ANSWERS-Include
nausea, anorexia, mild diffuse abd pain, hypoactive bowel sounds
How long do spleen injury patients have to avoid contact sports? -
ANSWERS-For up to 8 weeks
What do spleenectomy patients have a lifetime risk of? -
ANSWERS-Pneumococcal sepsis and other infections
, Page |3
What are symptoms of pancreatic trauma? -ANSWERS-Nausea,
vomiting, and epigastric pain. Amylase and lipase may provide
information about pancreas status.
What are some infectious complications of bowel injuries? -
ANSWERS-Abscess formation, peritonitis, abdominal wall
infections, and sepsis
Why do trauma patients need nutritional support? -ANSWERS-
Without nourishment the villi atrophy, facilitation of bacterial
translocation from the gut to the peritoneal cavity and into the
blood
What dietary needs do orthopedic trauma patients have? -
ANSWERS-Need to increase dietary protein, calcium, and
Vitamin D
What are the solid abdominal organs? -ANSWERS-The liver,
spleen, and kidneys. They are dense, highly vascular, non-elastic,
and in a tough capsule. As long as the capsule is intact,
hemorrhage is contained and solid organs will heal.
, Page |4
How are hepatic lacerations managed? -ANSWERS-Need serial
abdominal exams, Hgb, liver enzyme levels, and coagulation
studies
What are the symptoms of diaphragmatic hernias? -ANSWERS-
Because the liver blocks migration of the contents on the right, a
majority occur on the left. Patient will experience SOB, and bowel
sounds may be auscultated in the chest
What is Grey-Turner sign? -ANSWERS-It is bruising along the
flank and is anticipated 24-48 hours after penetrating renal trauma
What are the causes of ureteral injuries? -ANSWERS-They are
uncommon and is primarily the result of firearm, stab or
impalement
In trauma patients, what is the most common cause and
treatment of renal failure? -ANSWERS-Pre-renal failure is the
case of "nothing in, nothing out". The problem is hypovolemia,
treatment is fluids. Common shortly after injury.
SSM TCAR EXAM 2025/2026 NEWEST ACTUAL EXAM WITH
COMPLETE QUESTIONS AND VERIFIED ANSWERS
|ALREADY GRADED A+|
What can bloody sputum indicate? -ANSWERS-It indicates
significant airway damage, but not necessarily an expanding
hematoma
What is the "choking game"? -ANSWERS-It is a technique to
induce hypoxia, causing temporary syncope and euphoria
What is the initial priority with a rib fracture? -ANSWERS-Priority
is pain management to allow for pulmonary toilet. It is the most
important initial intervention.
What is the most ominous finding in patients with flail chest? -
ANSWERS-The most ominous finding is oxygenation failure.
Pulmonary contusions (the extent of diffusion defects) determine
injury severity to a greater degree than the actual chest wall
defect
, Page |2
What is traumatic asphyxia? -ANSWERS-It is a thoracic crushing
condition that occurs when sudden blunt trauma to the chest
forces retrograde blood blow through the superior vena cava into
the head and neck
What are the symptoms of traumatic asphyxia? -ANSWERS-
Petecial & subconjunctival hemorrhage. The face is swollen, the
face and upper torso are discolored blue-red to black-blue.
Discoloration and petechiae are prominent on eyelids, nose and
lips
What are symptoms of bowel contusions? -ANSWERS-Include
nausea, anorexia, mild diffuse abd pain, hypoactive bowel sounds
How long do spleen injury patients have to avoid contact sports? -
ANSWERS-For up to 8 weeks
What do spleenectomy patients have a lifetime risk of? -
ANSWERS-Pneumococcal sepsis and other infections
, Page |3
What are symptoms of pancreatic trauma? -ANSWERS-Nausea,
vomiting, and epigastric pain. Amylase and lipase may provide
information about pancreas status.
What are some infectious complications of bowel injuries? -
ANSWERS-Abscess formation, peritonitis, abdominal wall
infections, and sepsis
Why do trauma patients need nutritional support? -ANSWERS-
Without nourishment the villi atrophy, facilitation of bacterial
translocation from the gut to the peritoneal cavity and into the
blood
What dietary needs do orthopedic trauma patients have? -
ANSWERS-Need to increase dietary protein, calcium, and
Vitamin D
What are the solid abdominal organs? -ANSWERS-The liver,
spleen, and kidneys. They are dense, highly vascular, non-elastic,
and in a tough capsule. As long as the capsule is intact,
hemorrhage is contained and solid organs will heal.
, Page |4
How are hepatic lacerations managed? -ANSWERS-Need serial
abdominal exams, Hgb, liver enzyme levels, and coagulation
studies
What are the symptoms of diaphragmatic hernias? -ANSWERS-
Because the liver blocks migration of the contents on the right, a
majority occur on the left. Patient will experience SOB, and bowel
sounds may be auscultated in the chest
What is Grey-Turner sign? -ANSWERS-It is bruising along the
flank and is anticipated 24-48 hours after penetrating renal trauma
What are the causes of ureteral injuries? -ANSWERS-They are
uncommon and is primarily the result of firearm, stab or
impalement
In trauma patients, what is the most common cause and
treatment of renal failure? -ANSWERS-Pre-renal failure is the
case of "nothing in, nothing out". The problem is hypovolemia,
treatment is fluids. Common shortly after injury.
