TCAR FINAL EXAM TRAUMA CARE TEST
BANK 2026 UPDATED QUESTIONS WITH
CORRECT ANSWERS GRADED A+
⩥ Mechanism of injury. Answer: By which the patient was injured such
as a fall, motor vehicle collision, or explosion.
⩥ Kinetic Energy. Answer: Energy an object has a result of being in
motion.
⩥ Velocity. Answer: Speed in a particular direction.
⩥ Law of conservation of energy. Answer: Neither created nor
destroyed.
⩥ Newton's Laws of motion. Answer: A body in motion stays in motion
unless acted on by an outside source.
⩥ High Energy vs. Low Energy Event. Answer: High energy: A
mechanism of injury in which it is likely that there was a large release of
uncontrolled kinetic energy transmitted to the patient, thus increasing the
chance for serious injury. Low energy: Can be more serious in pediatric
and elderly patients, most commonly caused by a fall.
,⩥ Frontal Impact Collision. Answer: Wind shield injury, steering wheel
injuries, dashboard injuries.
⩥ Lateral (T-Bone) Collision. Answer: Similar to frontal impact with
lateral energy, check impact side, check non-impact side as well.
⩥ Rear-Impact Collision. Answer: Posterior displacement, headrest
position, damage back and front.
⩥ Falls and Factors. Answer: Common injuries due to falls include head
trauma, axial loading or hyperextension/flexion, extremity fractures, hip
and/or pelvic injuries, vertical deceleration force to the organs. Older
people are at risk for falling in part to age related changes in mobility,
balance, and vision.
⩥ Occupant Restraint Systems (belts/airbags). Answer: Lap belt:
clasp/knife effect, abdomen, lumbar spine. Three-point restraint: cervical
spine, clavicular fracture.
⩥ Blast Injuries. Answer: Quaternary Burns from explosion fireball.
Primary blast force: ears, Lungs, G.I. tract. Secondary missile, etc.,
being propelled. Tertiary impact hard surface multiple injuries possible.
, ⩥ Primary Survey. Answer: A brief exam to find immediately life-
threatening conditions. It is made up of the scene size-up, initial
assessment, and either the rapid trauma survey or the focused exam.
⩥ Initial Assessment. Answer: General impression of the patient
position, CABC, and LOC.
⩥ Secondary Survey. Answer: Detailed exam, head to toe, looking for
additional or missed injuries.
⩥ Re-Assessment/Ongoing Exam. Answer: An exam performed
repeatedly on an ongoing basis. Its purpose is to find any changes in the
patient's condition.
⩥ General Impression. Answer: Your first impression of the patient as
you approach, any life threats must be addressed now, C-ABC. (Your
subjective judgment as to the seriousness of the situation is part of the
impression).
⩥ Level of consciousness. Answer: From the patient's response what is
the AVPU (Alert, voice, pain, unresponsive). Stay in their field of vision
to keep them from turning their heads.
⩥ Focused Exam. Answer: Limited to area of injury.
BANK 2026 UPDATED QUESTIONS WITH
CORRECT ANSWERS GRADED A+
⩥ Mechanism of injury. Answer: By which the patient was injured such
as a fall, motor vehicle collision, or explosion.
⩥ Kinetic Energy. Answer: Energy an object has a result of being in
motion.
⩥ Velocity. Answer: Speed in a particular direction.
⩥ Law of conservation of energy. Answer: Neither created nor
destroyed.
⩥ Newton's Laws of motion. Answer: A body in motion stays in motion
unless acted on by an outside source.
⩥ High Energy vs. Low Energy Event. Answer: High energy: A
mechanism of injury in which it is likely that there was a large release of
uncontrolled kinetic energy transmitted to the patient, thus increasing the
chance for serious injury. Low energy: Can be more serious in pediatric
and elderly patients, most commonly caused by a fall.
,⩥ Frontal Impact Collision. Answer: Wind shield injury, steering wheel
injuries, dashboard injuries.
⩥ Lateral (T-Bone) Collision. Answer: Similar to frontal impact with
lateral energy, check impact side, check non-impact side as well.
⩥ Rear-Impact Collision. Answer: Posterior displacement, headrest
position, damage back and front.
⩥ Falls and Factors. Answer: Common injuries due to falls include head
trauma, axial loading or hyperextension/flexion, extremity fractures, hip
and/or pelvic injuries, vertical deceleration force to the organs. Older
people are at risk for falling in part to age related changes in mobility,
balance, and vision.
⩥ Occupant Restraint Systems (belts/airbags). Answer: Lap belt:
clasp/knife effect, abdomen, lumbar spine. Three-point restraint: cervical
spine, clavicular fracture.
⩥ Blast Injuries. Answer: Quaternary Burns from explosion fireball.
Primary blast force: ears, Lungs, G.I. tract. Secondary missile, etc.,
being propelled. Tertiary impact hard surface multiple injuries possible.
, ⩥ Primary Survey. Answer: A brief exam to find immediately life-
threatening conditions. It is made up of the scene size-up, initial
assessment, and either the rapid trauma survey or the focused exam.
⩥ Initial Assessment. Answer: General impression of the patient
position, CABC, and LOC.
⩥ Secondary Survey. Answer: Detailed exam, head to toe, looking for
additional or missed injuries.
⩥ Re-Assessment/Ongoing Exam. Answer: An exam performed
repeatedly on an ongoing basis. Its purpose is to find any changes in the
patient's condition.
⩥ General Impression. Answer: Your first impression of the patient as
you approach, any life threats must be addressed now, C-ABC. (Your
subjective judgment as to the seriousness of the situation is part of the
impression).
⩥ Level of consciousness. Answer: From the patient's response what is
the AVPU (Alert, voice, pain, unresponsive). Stay in their field of vision
to keep them from turning their heads.
⩥ Focused Exam. Answer: Limited to area of injury.
