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Exam (elaborations)

TNCC QUESTION PRACTICE GRADED A+

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Primary concern when a person cannot stop coughing/clearing their throat following house fire/smoke? - Airway/Intubate Lab evidence of cellular perfusion - Base Excess (Less than -6 is BAD) Multiple people are in the ER of different ages who all go to the same church. They all have the same symptoms. What is the most likely cause? - Biologic Suspected shock type with a spinal cord injury - Distributive Shock (Includes neurogenic) Patient has GCS of 3, unequal pupils (one sluggish, one blown), and is posturing. What is the cause? - Herniation Middle Meningeal Artery - Epidural Hematoma (results from collection of blood that forms between dura mater and skull) Prior to having a concussion (TBI), the patient had a brain injury that was not fully healed. What is the cause? - 2nd Impact Syndrome Bowel sounds heard in the L chest. What is this a symptom of? - Ruptured diaphragm Symptoms of __________________: include muffled heart sounds and hypotension - Pericardiocentesis How should you dress a severed limb? - Sterile gauze with normal saline THEN put ice on it Amylase level looks at _____________ - Pancreas What should you do if your patient has hyphema (collection of blood inside the front part of the eye?) - Sit HOB up to 30 deg

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TNCC QUESTION PRACTICE GRADED A+
Primary concern when a person cannot stop coughing/clearing their throat following house
fire/smoke? - ✔✔Airway/Intubate



Lab evidence of cellular perfusion - ✔✔Base Excess (Less than -6 is BAD)



Multiple people are in the ER of different ages who all go to the same church. They all have the same
symptoms. What is the most likely cause? - ✔✔Biologic



Suspected shock type with a spinal cord injury - ✔✔Distributive Shock (Includes neurogenic)



Patient has GCS of 3, unequal pupils (one sluggish, one blown), and is posturing. What is the cause? -
✔✔Herniation



Middle Meningeal Artery - ✔✔Epidural Hematoma (results from collection of blood that forms
between dura mater and skull)



Prior to having a concussion (TBI), the patient had a brain injury that was not fully healed. What is
the cause? - ✔✔2nd Impact Syndrome



Bowel sounds heard in the L chest. What is this a symptom of? - ✔✔Ruptured diaphragm



Symptoms of __________________: include muffled heart sounds and hypotension -
✔✔Pericardiocentesis



How should you dress a severed limb? - ✔✔Sterile gauze with normal saline THEN put ice on it



Amylase level looks at _____________ - ✔✔Pancreas



What should you do if your patient has hyphema (collection of blood inside the front part of the
eye?) - ✔✔Sit HOB up to 30 degrees

, Principle that people have to take action after suffering a loss in order to decrease severity,
seriousness, or painfulness - ✔✔Mitigation



What organ is most at risk following a gunshot - ✔✔Liver



8 year old child with longitudinal thigh lacerations - ✔✔Sign of child abuse



Bleeding around belly button - ✔✔Cullen's Sign



What would cause an inaccurate reading from an 02 saturation probe? - ✔✔Carboxyhemoglobin
(increase FiO2 to 100%)



General study of forces and their effects on living tissue and the human body - ✔✔Biomechanics



Study of energy transfer as it applies to identifying actual or potential injuries - ✔✔Kinematics



Refers to the separation of tissue resulting from a sound and/or hydraulic wave force- the effect is a
crushing pressure wave which creates a temporary cavity, followed by a rapid and violent closing of
the cavity. - ✔✔Cavitation



This rapid motion can lead to crushing, tearing, and shearing forces on tissue - ✔✔Cavitation



Used in OR; does not provide protection against aspiration and not recommended in patients who
have eaten recently. It is a supraglottic airway. - ✔✔Laryngeal Mask Airway



Single tube retroglottic device inserted into the esophagus and traps the glottis opening between an
esophageal cuff and an oropharyngeal cuff. Designed with 2 ports/lumens each with a separate cuff.
Does NOT provide protection against aspiration and is not indicated in children. It is a retroglottic
airway. - ✔✔King Tube



Types of Shock (4) - ✔✔Hypovolemic, Obstructive, Cardiogenic, Distributive
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