SSM TCAR Exam Actual Exam 2025 | Trauma Care
after Resuscitation (TCAR) Exam | Complete
Questions and Correct Answers | Brand New
VersioN ASSUERD GRADE A+
A hemothorax presents a problem where in the cascade? -------CORRECT ANSWERR------Ventilation and
Hgb availability
CT insertion at 4-5th ICS
Blood loss is commonly the intercostal vessels
A massive PE symptoms? -------CORRECT ANSWERR------Sudden change in mental status
Neck vein distention
Hemodynamic instability
Low O2 sat
A simple pneumothorax presents a problems where in the cascade? -------CORRECT ANSWERR------
Ventilation
Deflated section of the lung is not participating in gas exchange
An isolated PTX can be treated with a CT in the 2nd ICS
A tension pneuomothorax presents a problem where in the cascade? -------CORRECT ANSWERR------
Ventilation & CO
Pulsus paradoxus and unilateral breath sounds
Banked blood causes what electrolyte abnormalities? -------CORRECT ANSWERR------Elevated K-released
from old or damaged blood cells
Decreased Ca-citrate in blood binds with calcium so the ionized Ca level is low
Blunt trauma Classifications include? -------CORRECT ANSWERR------MVA
,Auto vs. pedestrian
Falls
Struck by or against an object
Car vs pedestrian injuries depend on? -------CORRECT ANSWERR------Point of contact with the care
Height of hood & bumper
Size & weight of vehicle
Height of patient
Direction patient was facing when struck
Care of an amputated part includes? -------CORRECT ANSWERR------Cleaning off any visible dbris, sealing
amputated part in a plastic bag, and placing the bag in an ice water solution
Characteristic of wounding agent? -------CORRECT ANSWERR------Type of energy and how it was applied
Define Shock? -------CORRECT ANSWERR------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.
Dose of energy is? -------CORRECT ANSWERR------The nature and amount of force
Energy transmission in a rollover depends on? -------CORRECT ANSWERR------Deceleration distance
Energy is dissipated over the distance of the roll and whether or not the occupants are restrained
Factors predicting fall injuries are? -------CORRECT ANSWERR------Fall height (velocity)
Landing surface (deceleration distance)
Point of impact on the body
Fetal demise in trauma is most likely due to ? -------CORRECT ANSWERR------Placental abruption
, For every second of fall time, speed increases by? -------CORRECT ANSWERR------Speed increases by
approximately 20 MPH
Force -------CORRECT ANSWERR------The dose of energy involved
H & H is a measure of ? -------CORRECT ANSWERR------It is a measure of hemodilution rather than blood
loss.
How are bowel injuires asessed? -------CORRECT ANSWERR------Signs of infection-fever leukocytosis
rebound tenderness
Free air in the belly-Hollow viscous rupture
How are closed mid-shaft femur fractures managed? -------CORRECT ANSWERR------Intramedullary nail
fixation
How are hepatic lacerations managed? -------CORRECT ANSWERR------Need serial abdominal exams, Hgb,
liver enzyme levels, and coagulation studies
How are lateral compression fractures managed? -------CORRECT ANSWERR------Usally required ORIF
How are open book pelvic fractures managed? -------CORRECT ANSWERR------May be managed with
external fixators
How can we keep trauma patients warm? -------CORRECT ANSWERR------Forced air warmers, warm IV
fluids, keep room very warm. Acidosis and coagulopathies will not corret unless we reverse hypothermia
How do you calculate expected PaO2? -------CORRECT ANSWERR------FIO2 x 5
If it's less than expected for a given FIO2, it is a diffusion problem
How is the bowel injured in blunt abdominal trauma? -------CORRECT ANSWERR------Hollow structures
pop dues to a direct blow or hyperflexion over a fixed object causing an increase in intrabdominal
pressure
after Resuscitation (TCAR) Exam | Complete
Questions and Correct Answers | Brand New
VersioN ASSUERD GRADE A+
A hemothorax presents a problem where in the cascade? -------CORRECT ANSWERR------Ventilation and
Hgb availability
CT insertion at 4-5th ICS
Blood loss is commonly the intercostal vessels
A massive PE symptoms? -------CORRECT ANSWERR------Sudden change in mental status
Neck vein distention
Hemodynamic instability
Low O2 sat
A simple pneumothorax presents a problems where in the cascade? -------CORRECT ANSWERR------
Ventilation
Deflated section of the lung is not participating in gas exchange
An isolated PTX can be treated with a CT in the 2nd ICS
A tension pneuomothorax presents a problem where in the cascade? -------CORRECT ANSWERR------
Ventilation & CO
Pulsus paradoxus and unilateral breath sounds
Banked blood causes what electrolyte abnormalities? -------CORRECT ANSWERR------Elevated K-released
from old or damaged blood cells
Decreased Ca-citrate in blood binds with calcium so the ionized Ca level is low
Blunt trauma Classifications include? -------CORRECT ANSWERR------MVA
,Auto vs. pedestrian
Falls
Struck by or against an object
Car vs pedestrian injuries depend on? -------CORRECT ANSWERR------Point of contact with the care
Height of hood & bumper
Size & weight of vehicle
Height of patient
Direction patient was facing when struck
Care of an amputated part includes? -------CORRECT ANSWERR------Cleaning off any visible dbris, sealing
amputated part in a plastic bag, and placing the bag in an ice water solution
Characteristic of wounding agent? -------CORRECT ANSWERR------Type of energy and how it was applied
Define Shock? -------CORRECT ANSWERR------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.
Dose of energy is? -------CORRECT ANSWERR------The nature and amount of force
Energy transmission in a rollover depends on? -------CORRECT ANSWERR------Deceleration distance
Energy is dissipated over the distance of the roll and whether or not the occupants are restrained
Factors predicting fall injuries are? -------CORRECT ANSWERR------Fall height (velocity)
Landing surface (deceleration distance)
Point of impact on the body
Fetal demise in trauma is most likely due to ? -------CORRECT ANSWERR------Placental abruption
, For every second of fall time, speed increases by? -------CORRECT ANSWERR------Speed increases by
approximately 20 MPH
Force -------CORRECT ANSWERR------The dose of energy involved
H & H is a measure of ? -------CORRECT ANSWERR------It is a measure of hemodilution rather than blood
loss.
How are bowel injuires asessed? -------CORRECT ANSWERR------Signs of infection-fever leukocytosis
rebound tenderness
Free air in the belly-Hollow viscous rupture
How are closed mid-shaft femur fractures managed? -------CORRECT ANSWERR------Intramedullary nail
fixation
How are hepatic lacerations managed? -------CORRECT ANSWERR------Need serial abdominal exams, Hgb,
liver enzyme levels, and coagulation studies
How are lateral compression fractures managed? -------CORRECT ANSWERR------Usally required ORIF
How are open book pelvic fractures managed? -------CORRECT ANSWERR------May be managed with
external fixators
How can we keep trauma patients warm? -------CORRECT ANSWERR------Forced air warmers, warm IV
fluids, keep room very warm. Acidosis and coagulopathies will not corret unless we reverse hypothermia
How do you calculate expected PaO2? -------CORRECT ANSWERR------FIO2 x 5
If it's less than expected for a given FIO2, it is a diffusion problem
How is the bowel injured in blunt abdominal trauma? -------CORRECT ANSWERR------Hollow structures
pop dues to a direct blow or hyperflexion over a fixed object causing an increase in intrabdominal
pressure
