SSM TCAR Exam Latest Exam 2025 | Trauma
Care after Resuscitation (TCAR) Exam |
Updated Questions and Correct Answers | Just
Released
What area of the spinal cord has the fibers that control the upper extremities and
torso? ---------CORRECT ANSWER-----------------They are located in the center of the
cord
What area of the spinal cord has fibers that control the lower extremites? ---------
CORRECT ANSWER-----------------They run along the outer edges of the cord
What does central cord damage produce? ---------CORRECT ANSWER-----------------
It causes paralegia, in which the leg function exceeds that of the arms
They can sing and dance, but can't play the piano
What is seen with Spinal Shock? ---------CORRECT ANSWER-----------------Temporary
loss of spinal reflex activity
"Limp Noodles"
Resolves in hours-to-weeks
As it resolves, pt develops contractures, spasticity & hyperreflexion
,What is neurogenic shock & what happens? ---------CORRECT ANSWER----------------
-It is a distributive shock, causing massive vasodilation causing relative
hypovolemia leading to inadequate tissue and organ perfusion.
What symptoms are seen with neurogenic shock? ---------CORRECT ANSWER--------
---------Bradycardia, hypotension, and widened pulse pressure
What are injuries seen with lap belts only? ---------CORRECT ANSWER-----------------
Lumbar spine fractures are a risk, and may not be evident until the patient stands
How much volume can a pelvic fracture lose? ---------CORRECT ANSWER--------------
---High risk of hemorrhage, and lose 750-5000 ml of blood
How are open book pelvic fractures managed? ---------CORRECT ANSWER------------
-----May be managed with external fixators
How are lateral compression fractures managed? ---------CORRECT ANSWER---------
--------Usally required ORIF
,How much hemorrhagic volume is associated with a humerus fracture? ---------
CORRECT ANSWER-----------------500-1500 ml
How much hemorrhagic volume is associated with a tibia/fibula fracture? ---------
CORRECT ANSWER-----------------250-1000ml
How much hemorrhagic volume is associated with a femur fracture? ---------
CORRECT ANSWER-----------------500-3000 ml
What are signs of uncompensated hemorrhagic shock? ---------CORRECT ANSWER-
----------------Hypotension, tachycardia, Narrow pulse pressure, increased shock
index
What is the goal of permissive hypotension? ---------CORRECT ANSWER---------------
--Keep SBP<90, Plug the holes, then replace volume with blood products
What is the risk of aggressive fluid resuscitation? ---------CORRECT ANSWER---------
--------It contributes to endothelial damage and capillary leakage
What is the preferred fluid replacement with hemorrhagic loss? ---------CORRECT
ANSWER-----------------Plasma is the preferred initial replacement. It has large
, molecules that stay in the vascular space. It also contains the clotting factors,
which address bleeding.
What is TIC-Trauma induced coagulopathy? ---------CORRECT ANSWER----------------
-Is is stimulated by factors released from damaged cells, particularly the brain.
Two tests that monitor it- TEG or ROTEM which provide real-time visual
representation of clot formation and lysis
What are the risks of Lefort Fractures? ---------CORRECT ANSWER-----------------They
are associated with hemorrhage and airway comprimise due to blood in the
airway, edema, and unsupported facial bones. Keep patient sitting up and leaning
forward. If they have resp effort, apply O2 by any means.
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
Care after Resuscitation (TCAR) Exam |
Updated Questions and Correct Answers | Just
Released
What area of the spinal cord has the fibers that control the upper extremities and
torso? ---------CORRECT ANSWER-----------------They are located in the center of the
cord
What area of the spinal cord has fibers that control the lower extremites? ---------
CORRECT ANSWER-----------------They run along the outer edges of the cord
What does central cord damage produce? ---------CORRECT ANSWER-----------------
It causes paralegia, in which the leg function exceeds that of the arms
They can sing and dance, but can't play the piano
What is seen with Spinal Shock? ---------CORRECT ANSWER-----------------Temporary
loss of spinal reflex activity
"Limp Noodles"
Resolves in hours-to-weeks
As it resolves, pt develops contractures, spasticity & hyperreflexion
,What is neurogenic shock & what happens? ---------CORRECT ANSWER----------------
-It is a distributive shock, causing massive vasodilation causing relative
hypovolemia leading to inadequate tissue and organ perfusion.
What symptoms are seen with neurogenic shock? ---------CORRECT ANSWER--------
---------Bradycardia, hypotension, and widened pulse pressure
What are injuries seen with lap belts only? ---------CORRECT ANSWER-----------------
Lumbar spine fractures are a risk, and may not be evident until the patient stands
How much volume can a pelvic fracture lose? ---------CORRECT ANSWER--------------
---High risk of hemorrhage, and lose 750-5000 ml of blood
How are open book pelvic fractures managed? ---------CORRECT ANSWER------------
-----May be managed with external fixators
How are lateral compression fractures managed? ---------CORRECT ANSWER---------
--------Usally required ORIF
,How much hemorrhagic volume is associated with a humerus fracture? ---------
CORRECT ANSWER-----------------500-1500 ml
How much hemorrhagic volume is associated with a tibia/fibula fracture? ---------
CORRECT ANSWER-----------------250-1000ml
How much hemorrhagic volume is associated with a femur fracture? ---------
CORRECT ANSWER-----------------500-3000 ml
What are signs of uncompensated hemorrhagic shock? ---------CORRECT ANSWER-
----------------Hypotension, tachycardia, Narrow pulse pressure, increased shock
index
What is the goal of permissive hypotension? ---------CORRECT ANSWER---------------
--Keep SBP<90, Plug the holes, then replace volume with blood products
What is the risk of aggressive fluid resuscitation? ---------CORRECT ANSWER---------
--------It contributes to endothelial damage and capillary leakage
What is the preferred fluid replacement with hemorrhagic loss? ---------CORRECT
ANSWER-----------------Plasma is the preferred initial replacement. It has large
, molecules that stay in the vascular space. It also contains the clotting factors,
which address bleeding.
What is TIC-Trauma induced coagulopathy? ---------CORRECT ANSWER----------------
-Is is stimulated by factors released from damaged cells, particularly the brain.
Two tests that monitor it- TEG or ROTEM which provide real-time visual
representation of clot formation and lysis
What are the risks of Lefort Fractures? ---------CORRECT ANSWER-----------------They
are associated with hemorrhage and airway comprimise due to blood in the
airway, edema, and unsupported facial bones. Keep patient sitting up and leaning
forward. If they have resp effort, apply O2 by any means.
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
