TPACT CORRECT TEST PAPER QUESTIONS AND
ANSWERS SURE A+
✔✔Where can blood third space - ✔✔Retro peritoneal abdomen, thighs.
✔✔What type of pelvic fx is most concerning - ✔✔Open book pelvic fx
✔✔How should we give it fluids - ✔✔Judiciously, controlled rate, may be high, may be
low.
✔✔When is permissive hypotension okay - ✔✔As long as there is not a head injury.
Allows body to keep remain hemostasis.
✔✔Is there a reversal for direct thrombin inhibitors - ✔✔No
✔✔When would you give protamine sulfate - ✔✔Heparin coagulopathy
✔✔What is massive transfusion. - ✔✔10'units min 24 hours, can cause electrolyte and
acidosis
✔✔Txa - ✔✔Proven to improve outcome
✔✔What pt would you have high index of suspicion with ams. - ✔✔Pediatric shock ,
aggressive fluid resuscitate
✔✔What is concern with barbaric trauma pt - ✔✔Increased 02 demand
✔✔Geriatric patient consideration. - ✔✔Decrease response to beta stimulation
✔✔Pediatric patient need wbc count because vitals vary widely. - ✔✔T. Temperature
helpful
, ✔✔What can a snakebite often lead to. - ✔✔Dic.
✔✔Shock index - ✔✔Hr /
✔✔Will the body shunt blood away from uterus in shockmat - ✔✔Yes, when mother has
shock baby has been without blood for some time, be very aggressive.
✔✔ - ✔✔Maternal hypoxemis is teratogenic. Pregnant Mom's have increased 02 needs
✔✔Should nasal intubation be an option. - ✔✔Maternal respiratory tract becomes
engorged
✔✔Maternal mothers need and increase minute ventilation although why is this hard to
achieve. - ✔✔Decreased tv
✔✔ - ✔✔Blood volume 50%, increased co, hr, decreased be during second tr,
✔✔What position is of concern for female pt. - ✔✔Supine hypotension syndrome
✔✔What is consideration with chest tube In a pregnant pt. - ✔✔How low is her uterus,
could she have a elevated diaphragm
✔✔Is ng tube important for mpg pt. after intubation - ✔✔Yes, increase intraabdominal
pressure
✔✔Most common injury to pg woman - ✔✔Pelvis fx, placental abrupt ion. 80 percent of
pregnant females can have female demise with trauma.
✔✔When do we add an extra f to our assessment in trauma - ✔✔Fetus. Fht. After
exposure
✔✔Ketamine dose should be lower for pregnancy - ✔✔0.5-0.7 maybe up to 1 if
imminent delivery
Concern also with etomidate
✔✔Are normal vs in pg pt mean normal fetal vs - ✔✔No. 80 percent fetal demise with
mother with shock
✔✔Seizures what might cause it - ✔✔Head injury / eclampsia
✔✔3 clues of preeclampsia - ✔✔Htn, protein, edema
✔✔Most common trauma induced complication in pg woman. - ✔✔Petra lab
ANSWERS SURE A+
✔✔Where can blood third space - ✔✔Retro peritoneal abdomen, thighs.
✔✔What type of pelvic fx is most concerning - ✔✔Open book pelvic fx
✔✔How should we give it fluids - ✔✔Judiciously, controlled rate, may be high, may be
low.
✔✔When is permissive hypotension okay - ✔✔As long as there is not a head injury.
Allows body to keep remain hemostasis.
✔✔Is there a reversal for direct thrombin inhibitors - ✔✔No
✔✔When would you give protamine sulfate - ✔✔Heparin coagulopathy
✔✔What is massive transfusion. - ✔✔10'units min 24 hours, can cause electrolyte and
acidosis
✔✔Txa - ✔✔Proven to improve outcome
✔✔What pt would you have high index of suspicion with ams. - ✔✔Pediatric shock ,
aggressive fluid resuscitate
✔✔What is concern with barbaric trauma pt - ✔✔Increased 02 demand
✔✔Geriatric patient consideration. - ✔✔Decrease response to beta stimulation
✔✔Pediatric patient need wbc count because vitals vary widely. - ✔✔T. Temperature
helpful
, ✔✔What can a snakebite often lead to. - ✔✔Dic.
✔✔Shock index - ✔✔Hr /
✔✔Will the body shunt blood away from uterus in shockmat - ✔✔Yes, when mother has
shock baby has been without blood for some time, be very aggressive.
✔✔ - ✔✔Maternal hypoxemis is teratogenic. Pregnant Mom's have increased 02 needs
✔✔Should nasal intubation be an option. - ✔✔Maternal respiratory tract becomes
engorged
✔✔Maternal mothers need and increase minute ventilation although why is this hard to
achieve. - ✔✔Decreased tv
✔✔ - ✔✔Blood volume 50%, increased co, hr, decreased be during second tr,
✔✔What position is of concern for female pt. - ✔✔Supine hypotension syndrome
✔✔What is consideration with chest tube In a pregnant pt. - ✔✔How low is her uterus,
could she have a elevated diaphragm
✔✔Is ng tube important for mpg pt. after intubation - ✔✔Yes, increase intraabdominal
pressure
✔✔Most common injury to pg woman - ✔✔Pelvis fx, placental abrupt ion. 80 percent of
pregnant females can have female demise with trauma.
✔✔When do we add an extra f to our assessment in trauma - ✔✔Fetus. Fht. After
exposure
✔✔Ketamine dose should be lower for pregnancy - ✔✔0.5-0.7 maybe up to 1 if
imminent delivery
Concern also with etomidate
✔✔Are normal vs in pg pt mean normal fetal vs - ✔✔No. 80 percent fetal demise with
mother with shock
✔✔Seizures what might cause it - ✔✔Head injury / eclampsia
✔✔3 clues of preeclampsia - ✔✔Htn, protein, edema
✔✔Most common trauma induced complication in pg woman. - ✔✔Petra lab
