1|Page
SSM TCAR Exam Newest 2025 Complete 200
Questions And VERIFIED ANSWERS LATEST
EXAM!!!
How are bowel injuires asessed? -ANSWER--.....Signs of infection-
fever leukocytosis rebound tenderness
Free air in the belly-Hollow viscous rupture
How much blood can be put into the belly? -ANSWER--.....All of it! 500-
6,000Ml or 4-5 L
What is "Damage Control" Laparotomy? -ANSWER--.....It is done to stop the
bleeding.The abd is packed and left open: transfer to ICU to continue
resuscitation.
How can we keep trauma patients warm? -ANSWER--.....Forced air warmers,
warm IV fluids, keep room very warm. Acidosis and coagulopathies will not
corret unless we reverse hypothermia
What are the most common postoperative problems associated with a bowel
injury? -ANSWER--.....Infection-peritonitis, abscesses, sepsis
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Bowel edema
Fluid Shift
What are examples of hypotonic fluids and do they stay in the intravascular
space? -ANSWER--.....D5W, D5 1/2NS,
Hypotonic fluids distribute evenly throughout all compartments. 3 L of
hypotonic fluids increases vascular volume about 1 cup
What are examples of isotonic fluids and do they stay in the intravascular
space? -ANSWER--.....NS, LR, Plasmalyte
Isotonic fluids stay in extracelluar space. 3L of isotonic fluids will increase
vascular volume about 3 cups
What adverse effects does IV crystalloid administration have? -ANSWER--
.....It contributes to endothelial damage and capillary leakage
Volume resusciation with NS is associated with what adverse effect? -
ANSWER--.....Hyperchloremic acidosis
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When is hypertonic fluid used? -ANSWER--.....Counteract cerebral edema in
brain injured, reduce bowel edema following paprotomy, quickly boost
volume in hemorrhaging patients.
What is an example of an isotonic colloid and how much will it increase
volume? -ANSWER--.....Plasma, it will increase the volume equal to amount
given
What is an example of a hypertonic colloid and what will it do to vascular
volume? -ANSWER--.....20% albumin. 100 ml will have a 450 ml intravascular
volume increase
In the abdominal truama patient, what suggests Abd. compartment
syndrome? -ANSWER--.....Dropping urine output in a patient who has been
aequately fluid resuscitated.
What are the SOFA criteria for sepsis? -ANSWER--.....HAT
Hypotension-SBP< 100 mmHg
Altered mental status
Tachypnea- RR> 22/min
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What does dropping diastolic pressure indicate? -ANSWER--.....A dropping
diastolic pressure -a widened pulse pressure indicates systemic vasodilation
What are sepsis red flags? -ANSWER--.....Dropping DBP, decreased U/O,
poor perfusion, restlessness, orthostatic hypotension, increased respiratory
rate
What are negative effects of spinal immobilization? -ANSWER--.....Skin &
soft tissue injury, airway comprimirse, aspiration, increased ICP, pain,
agitation
What is the implication for trauma care at a small rural hospital? -ANSWER-
-.....Identify, stabilize & ship
What makes a pelvic fracture stable vs. unstable? -ANSWER--.....A simple
rule of thumb: if one of the bony-ligamentous rings is intact, the pelvis is
stable
SSM TCAR Exam Newest 2025 Complete 200
Questions And VERIFIED ANSWERS LATEST
EXAM!!!
How are bowel injuires asessed? -ANSWER--.....Signs of infection-
fever leukocytosis rebound tenderness
Free air in the belly-Hollow viscous rupture
How much blood can be put into the belly? -ANSWER--.....All of it! 500-
6,000Ml or 4-5 L
What is "Damage Control" Laparotomy? -ANSWER--.....It is done to stop the
bleeding.The abd is packed and left open: transfer to ICU to continue
resuscitation.
How can we keep trauma patients warm? -ANSWER--.....Forced air warmers,
warm IV fluids, keep room very warm. Acidosis and coagulopathies will not
corret unless we reverse hypothermia
What are the most common postoperative problems associated with a bowel
injury? -ANSWER--.....Infection-peritonitis, abscesses, sepsis
,2|Page
Bowel edema
Fluid Shift
What are examples of hypotonic fluids and do they stay in the intravascular
space? -ANSWER--.....D5W, D5 1/2NS,
Hypotonic fluids distribute evenly throughout all compartments. 3 L of
hypotonic fluids increases vascular volume about 1 cup
What are examples of isotonic fluids and do they stay in the intravascular
space? -ANSWER--.....NS, LR, Plasmalyte
Isotonic fluids stay in extracelluar space. 3L of isotonic fluids will increase
vascular volume about 3 cups
What adverse effects does IV crystalloid administration have? -ANSWER--
.....It contributes to endothelial damage and capillary leakage
Volume resusciation with NS is associated with what adverse effect? -
ANSWER--.....Hyperchloremic acidosis
,3|Page
When is hypertonic fluid used? -ANSWER--.....Counteract cerebral edema in
brain injured, reduce bowel edema following paprotomy, quickly boost
volume in hemorrhaging patients.
What is an example of an isotonic colloid and how much will it increase
volume? -ANSWER--.....Plasma, it will increase the volume equal to amount
given
What is an example of a hypertonic colloid and what will it do to vascular
volume? -ANSWER--.....20% albumin. 100 ml will have a 450 ml intravascular
volume increase
In the abdominal truama patient, what suggests Abd. compartment
syndrome? -ANSWER--.....Dropping urine output in a patient who has been
aequately fluid resuscitated.
What are the SOFA criteria for sepsis? -ANSWER--.....HAT
Hypotension-SBP< 100 mmHg
Altered mental status
Tachypnea- RR> 22/min
, 4|Page
What does dropping diastolic pressure indicate? -ANSWER--.....A dropping
diastolic pressure -a widened pulse pressure indicates systemic vasodilation
What are sepsis red flags? -ANSWER--.....Dropping DBP, decreased U/O,
poor perfusion, restlessness, orthostatic hypotension, increased respiratory
rate
What are negative effects of spinal immobilization? -ANSWER--.....Skin &
soft tissue injury, airway comprimirse, aspiration, increased ICP, pain,
agitation
What is the implication for trauma care at a small rural hospital? -ANSWER-
-.....Identify, stabilize & ship
What makes a pelvic fracture stable vs. unstable? -ANSWER--.....A simple
rule of thumb: if one of the bony-ligamentous rings is intact, the pelvis is
stable
