TCAR EXAM 2025 |GUARANTEED
ACCURATE ANSWERS |VERIFIED
3 questions to ask in trauma - ACCURATE ANSWERS✔✔ -what was
the dose of energy?
-where did it go?
-what injuries are likely?
2 q's to ask in GSW - ACCURATE ANSWERS✔✔ caliber
type of gun
# of entrance/exit wounds
high/low velocity
1st question to ask in any traumatic injury? - ACCURATE
ANSWERS✔✔ what was the dose of energy involved?
(was it high or low?)
what is the caliber of a bullet? - ACCURATE ANSWERS✔✔ diameter
aka diameter of a bullet - ACCURATE ANSWERS✔✔ caliber
,what happens to projectiles when they enter the body - ACCURATE
ANSWERS✔✔ projectiles don't travel in a straight line
consider temporary cavity wound
what should you consider about tissue a projectile enounters -
ACCURATE ANSWERS✔✔ temporary cavitation
primary goal of GSW surgery - ACCURATE ANSWERS✔✔ usually
damage repair & not bullet removal
-if superficial, it may migrate the surface with time
important thing to remember about retained projectiles - ACCURATE
ANSWERS✔✔ they may migrate over time. bullett migration might
explain unexplained clinical findings
(VP Cheney accidentally shot his friend while hunting in 2006. ICU and
did great. moved to an inpatient unit. had a silent MI bc a shot gun
pellets migrated into a canary artery causing an infract. so had a MI but
fibrinolytic not the answer in this case b/c it was a "projectile embolus"
aka brestbone - ACCURATE ANSWERS✔✔ sternum
what attaches the ribs to the sternum - ACCURATE ANSWERS✔✔
cartliage
,what breaks thoracic bones - ACCURATE ANSWERS✔✔ significant
force
-1-2nd ribs, posterior ribs, sternum, scapulae, T2-10
gives us info about the force aka "dose" of energy received
consider injury to internal structures b/c force
ribs that are the most frequently broken - ACCURATE ANSWERS✔✔
ribs 4-9 b/c long, thin, and poorly protecte
it is harder to break a short pencil (T1-2) and easier to break a longer one
*ask how many and where to understand the force involved
what is the significance of posterior rib fractures - ACCURATE
ANSWERS✔✔ unusual direction of injury
shorter stubby ribs
good muscle profection
**posterior rib fractures have a lot of force so need a high dose.
***PRF need a lot of force so high dose of energy. big red flag for t-
spine injury
indication of c-spine injury - ACCURATE ANSWERS✔✔ to injure c-
spine, you don't need a big energy blow. all it takes is shaking around.
c spine versus t spine fractures - ACCURATE ANSWERS✔✔ c-spine
doesn't need a big energy blow. just some shaking around
, t-spine needs a great strong direct blow (not just a shock_
treatment for rib fractures - ACCURATE ANSWERS✔✔ largely
supportive nursing care like pulmonary toilet
CXR and rib fractures - ACCURATE ANSWERS✔✔ simple rib
fractures are difficult to see on CXR and can be commonly missed
(1/2 of all rib fractures aren't identified at the POI CXR)
identify a previous rib fracture on CXR - ACCURATE ANSWERS✔✔
once healed, rib fractures form bony callouses and become more visible
on CXR
how to tell a pt has a pneumonia from a CXR - ACCURATE
ANSWERS✔✔ dark spot that is not equal to the opposite side
consider if a pt has a lower rib fracture - ACCURATE ANSWERS✔✔
liver & spleen injury
acts like BBQ/marshmellow skewers
how high does the diaphragm rise on inspiration - ACCURATE
ANSWERS✔✔ level of 4th ICS
ACCURATE ANSWERS |VERIFIED
3 questions to ask in trauma - ACCURATE ANSWERS✔✔ -what was
the dose of energy?
-where did it go?
-what injuries are likely?
2 q's to ask in GSW - ACCURATE ANSWERS✔✔ caliber
type of gun
# of entrance/exit wounds
high/low velocity
1st question to ask in any traumatic injury? - ACCURATE
ANSWERS✔✔ what was the dose of energy involved?
(was it high or low?)
what is the caliber of a bullet? - ACCURATE ANSWERS✔✔ diameter
aka diameter of a bullet - ACCURATE ANSWERS✔✔ caliber
,what happens to projectiles when they enter the body - ACCURATE
ANSWERS✔✔ projectiles don't travel in a straight line
consider temporary cavity wound
what should you consider about tissue a projectile enounters -
ACCURATE ANSWERS✔✔ temporary cavitation
primary goal of GSW surgery - ACCURATE ANSWERS✔✔ usually
damage repair & not bullet removal
-if superficial, it may migrate the surface with time
important thing to remember about retained projectiles - ACCURATE
ANSWERS✔✔ they may migrate over time. bullett migration might
explain unexplained clinical findings
(VP Cheney accidentally shot his friend while hunting in 2006. ICU and
did great. moved to an inpatient unit. had a silent MI bc a shot gun
pellets migrated into a canary artery causing an infract. so had a MI but
fibrinolytic not the answer in this case b/c it was a "projectile embolus"
aka brestbone - ACCURATE ANSWERS✔✔ sternum
what attaches the ribs to the sternum - ACCURATE ANSWERS✔✔
cartliage
,what breaks thoracic bones - ACCURATE ANSWERS✔✔ significant
force
-1-2nd ribs, posterior ribs, sternum, scapulae, T2-10
gives us info about the force aka "dose" of energy received
consider injury to internal structures b/c force
ribs that are the most frequently broken - ACCURATE ANSWERS✔✔
ribs 4-9 b/c long, thin, and poorly protecte
it is harder to break a short pencil (T1-2) and easier to break a longer one
*ask how many and where to understand the force involved
what is the significance of posterior rib fractures - ACCURATE
ANSWERS✔✔ unusual direction of injury
shorter stubby ribs
good muscle profection
**posterior rib fractures have a lot of force so need a high dose.
***PRF need a lot of force so high dose of energy. big red flag for t-
spine injury
indication of c-spine injury - ACCURATE ANSWERS✔✔ to injure c-
spine, you don't need a big energy blow. all it takes is shaking around.
c spine versus t spine fractures - ACCURATE ANSWERS✔✔ c-spine
doesn't need a big energy blow. just some shaking around
, t-spine needs a great strong direct blow (not just a shock_
treatment for rib fractures - ACCURATE ANSWERS✔✔ largely
supportive nursing care like pulmonary toilet
CXR and rib fractures - ACCURATE ANSWERS✔✔ simple rib
fractures are difficult to see on CXR and can be commonly missed
(1/2 of all rib fractures aren't identified at the POI CXR)
identify a previous rib fracture on CXR - ACCURATE ANSWERS✔✔
once healed, rib fractures form bony callouses and become more visible
on CXR
how to tell a pt has a pneumonia from a CXR - ACCURATE
ANSWERS✔✔ dark spot that is not equal to the opposite side
consider if a pt has a lower rib fracture - ACCURATE ANSWERS✔✔
liver & spleen injury
acts like BBQ/marshmellow skewers
how high does the diaphragm rise on inspiration - ACCURATE
ANSWERS✔✔ level of 4th ICS
