1|Page
TRAUMA CARE AFTER RESUSCITATION
(TCAR) EXAM 2026|ACTUAL QUESTIONS
WITH VERIFIED ANSWERS
What is hyphema and how is it treated? - correct-answer - It is blood in the
anterior chamber of the eye. Elevate HOB to pool blood in the lower portion of
the anterior chamber. Avoid analgesics with antiplatelet effects - NSAIDS and ASA
What is Zone 1 of the neck? - correct-answer - It is the lowermost portion, from
the sternal notch to cricoid cartilage
What is Zone 2 of the neck? - correct-answer - The majority of the neck, from
cricoid to angle of the mandible
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What is Zone 3 of the neck? - correct-answer - It is from the angle of the mandible
to the base of the skull
What does stridor indicate? - correct-answer - It indicates significant airway
obstruction
What does BCVI-Blunt Cerebrovascular injury refer to? - correct-answer - It refers
to any blunt trauma to carotid or vertebral arteries. Any stroke like symptoms in
the patient with head or neck trauma is cause for alarm
What are symptoms of hematoma obstruction of the aerodigestive tract? -
correct-answer - Dyspnea, dysphonia, stridor, & dysphagia. Dysphonia is an early
indicator of airway compression and vocal changes are highly significant
What do coarse crackles indicate? - correct-answer - Fluid in the lower airway
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What does coughing indicate? - correct-answer - It is a protective reflex in
response to laryngeal or subglottic irritation
What can bloody sputum indicate? - correct-answer - It indicates significant
airway damage, but not necessarily an expanding hematoma
What is the "choking game"? - correct-answer - It is a technique to induce
hypoxia, causing temporary syncope and euphoria
What is the initial priority with a rib fracture? - correct-answer - Priority is pain
management to allow for pulmonary toilet. It is the most important initial
intervention.
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, 4|Page
What is the most ominous finding in patients with flail chest? - correct-answer -
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
What are the definitive options for pelvic fracture stabilization and hemorrhage
control? - correct-answer - External Fixation
Interventional Radiology
Open reduction & Internal fixation
How are closed mid-shaft femur fractures managed? - correct-answer -
Intramedullary nail fixation
What makes a fracture comminuted? - correct-answer - The bone is in multiple
pieces
4|Page
TRAUMA CARE AFTER RESUSCITATION
(TCAR) EXAM 2026|ACTUAL QUESTIONS
WITH VERIFIED ANSWERS
What is hyphema and how is it treated? - correct-answer - It is blood in the
anterior chamber of the eye. Elevate HOB to pool blood in the lower portion of
the anterior chamber. Avoid analgesics with antiplatelet effects - NSAIDS and ASA
What is Zone 1 of the neck? - correct-answer - It is the lowermost portion, from
the sternal notch to cricoid cartilage
What is Zone 2 of the neck? - correct-answer - The majority of the neck, from
cricoid to angle of the mandible
1|Page
,2|Page
What is Zone 3 of the neck? - correct-answer - It is from the angle of the mandible
to the base of the skull
What does stridor indicate? - correct-answer - It indicates significant airway
obstruction
What does BCVI-Blunt Cerebrovascular injury refer to? - correct-answer - It refers
to any blunt trauma to carotid or vertebral arteries. Any stroke like symptoms in
the patient with head or neck trauma is cause for alarm
What are symptoms of hematoma obstruction of the aerodigestive tract? -
correct-answer - Dyspnea, dysphonia, stridor, & dysphagia. Dysphonia is an early
indicator of airway compression and vocal changes are highly significant
What do coarse crackles indicate? - correct-answer - Fluid in the lower airway
2|Page
,3|Page
What does coughing indicate? - correct-answer - It is a protective reflex in
response to laryngeal or subglottic irritation
What can bloody sputum indicate? - correct-answer - It indicates significant
airway damage, but not necessarily an expanding hematoma
What is the "choking game"? - correct-answer - It is a technique to induce
hypoxia, causing temporary syncope and euphoria
What is the initial priority with a rib fracture? - correct-answer - Priority is pain
management to allow for pulmonary toilet. It is the most important initial
intervention.
3|Page
, 4|Page
What is the most ominous finding in patients with flail chest? - correct-answer -
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
What are the definitive options for pelvic fracture stabilization and hemorrhage
control? - correct-answer - External Fixation
Interventional Radiology
Open reduction & Internal fixation
How are closed mid-shaft femur fractures managed? - correct-answer -
Intramedullary nail fixation
What makes a fracture comminuted? - correct-answer - The bone is in multiple
pieces
4|Page
