TCRN Exam Questions and Answers 100%
Pass
Kehr's sign -
CORRECT ANSWER: Referred left shoulder pain, usually indicates a
splenic injury
QUESTION: Base deficit -
CORRECT ANSWER: Base deficit more than -6 indicates the need for
agressive resuscitation and determination of the etiology
QUESTION: CXR -
CORRECT ANSWER: Most important tool providing useful
information in the early minutes. Can identify major sources of blood
loss from injuries in the chest or elevated diaphragm with displacement
of abdominal organs
,QUESTION: Tracheobronchial injury -
CORRECT ANSWER: Should be suspected if after chest tube
placement a significant air leak is present
QUESTION: Diagnostic Peritoneal Lavage -
CORRECT ANSWER: Alternative to FAST scan to detect abd
bleeding. A urinary catheter and gastric tube should be in place prior to
procedure.
QUESTION: FAST -
CORRECT ANSWER: Focused Assessment with Sonography in
Trauma. Used to detect free fluid in peritoneum or hemoperitoneum.
Free fluid appears "black" on the screen. Has replaced DPL when
available.
QUESTION: Positive FAST scan -
,CORRECT ANSWER: Hemodynamically unstable trauma patient with
a positive fast are taken directly to the OR for laparotomy
QUESTION: Ultrasound abd exam -
CORRECT ANSWER: Not useful to detect injuries to the diaphragm,
intestine and pancreas. In patients with obesity, ascites and/or subQ
emphysema the accuracy is reduced.
QUESTION: CT scan -
CORRECT ANSWER: Hemodynamically stable patients may be taken
to CT
QUESTION: Angiography -
CORRECT ANSWER: Embolization is useful in treating patient with
unstable pelvic fractures, liver and splenic hemorrhage. Use of hybrid
OR suites to allow for surgical and interventional radiology methods of
treatment simultaneously.
, QUESTION: Diagnostic laparoscopy -
CORRECT ANSWER: Can be used to detect or exclude finding so f
hemoperitoneum, organ injury, intestinal spillage or peritoneal
penetration. Most useful in evaluating possible diaphragmatic injuries,
espectially in penetrating thoracoabdominal injuries on the left site
QUESTION: Diaphragmatic injuries -
CORRECT ANSWER: Usually resultant of penetrating
throacoabdominal injuries on the left side, including 11-12 rib fractures
on the left.
QUESTION: Small intestine injuries -
CORRECT ANSWER: Result from shearing forces in MVC or direct
blows that crush intestine between force and the vertebrae. Most
commonly intra-abd injury in penetrating trauma. Occurs often with
spinal injury. Pancreatic/solid organ injury are predictive of increased
risk for hollow viscus injury. Signs of peritonitis develop. Any blow to
Pass
Kehr's sign -
CORRECT ANSWER: Referred left shoulder pain, usually indicates a
splenic injury
QUESTION: Base deficit -
CORRECT ANSWER: Base deficit more than -6 indicates the need for
agressive resuscitation and determination of the etiology
QUESTION: CXR -
CORRECT ANSWER: Most important tool providing useful
information in the early minutes. Can identify major sources of blood
loss from injuries in the chest or elevated diaphragm with displacement
of abdominal organs
,QUESTION: Tracheobronchial injury -
CORRECT ANSWER: Should be suspected if after chest tube
placement a significant air leak is present
QUESTION: Diagnostic Peritoneal Lavage -
CORRECT ANSWER: Alternative to FAST scan to detect abd
bleeding. A urinary catheter and gastric tube should be in place prior to
procedure.
QUESTION: FAST -
CORRECT ANSWER: Focused Assessment with Sonography in
Trauma. Used to detect free fluid in peritoneum or hemoperitoneum.
Free fluid appears "black" on the screen. Has replaced DPL when
available.
QUESTION: Positive FAST scan -
,CORRECT ANSWER: Hemodynamically unstable trauma patient with
a positive fast are taken directly to the OR for laparotomy
QUESTION: Ultrasound abd exam -
CORRECT ANSWER: Not useful to detect injuries to the diaphragm,
intestine and pancreas. In patients with obesity, ascites and/or subQ
emphysema the accuracy is reduced.
QUESTION: CT scan -
CORRECT ANSWER: Hemodynamically stable patients may be taken
to CT
QUESTION: Angiography -
CORRECT ANSWER: Embolization is useful in treating patient with
unstable pelvic fractures, liver and splenic hemorrhage. Use of hybrid
OR suites to allow for surgical and interventional radiology methods of
treatment simultaneously.
, QUESTION: Diagnostic laparoscopy -
CORRECT ANSWER: Can be used to detect or exclude finding so f
hemoperitoneum, organ injury, intestinal spillage or peritoneal
penetration. Most useful in evaluating possible diaphragmatic injuries,
espectially in penetrating thoracoabdominal injuries on the left site
QUESTION: Diaphragmatic injuries -
CORRECT ANSWER: Usually resultant of penetrating
throacoabdominal injuries on the left side, including 11-12 rib fractures
on the left.
QUESTION: Small intestine injuries -
CORRECT ANSWER: Result from shearing forces in MVC or direct
blows that crush intestine between force and the vertebrae. Most
commonly intra-abd injury in penetrating trauma. Occurs often with
spinal injury. Pancreatic/solid organ injury are predictive of increased
risk for hollow viscus injury. Signs of peritonitis develop. Any blow to
