TCRN COMPREHENSIVE TEST SCRIPT
2026 QUESTIONS WITH SOLUTIONS 100%
CORRECT.
■ Late (Decompensated) Shock. Answer: Decreased BP
Tachycardia
Shallow and rapid RR
Increased Lactic
Decreased LOC
Decreased urinary output
■ BUN to Creatinine Ratio. Answer: Normal - 10:1
Indicated effective renal function
■ Trauma Triad of Death. Answer: Hypothermia
Acidosis
Coagulopathies
■ Effects of Acidosis. Answer: Increased ICP
Exacerbates coagulopathies
,Depressed myocardial contractility
■ DIC. Answer: Excessive clotting > all clotting factors used > no more
clotting > excessive bleeding
■ Effects of coagulopathies. Answer: Decreased platelet count
Decreased fibrinogen
Decreased HnH
Increased PT, PTT
Increased Ddimer
■ Multi-Organ Dysfunction Syndrome (MODS). Answer: Irreversible
Shock resulting from Triad of Death
Symptoms start within the first week after trauma
■ Steps to control hemorrhage. Answer: Tourniquet
TXA
REBOA
Permissive Hypotension
■ Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA).
Answer: Occlusion of the Aorta below the diaphragm to reduce bleeding
,■ Type A. Answer: RBC: Type A, O
Plasma: Type A, AB
■ Type B. Answer: RBC: Type B, O
Plasma: Type B, AB
■ Type AB. Answer: RBC: Type A, B, AB, O
Plasma: AB
■ Type O. Answer: RBC: Type O
Plasma: Type A, B, AB, O
■ Universal Donor of RBC and Plasma. Answer: Universal donor of
RBC: O negative
Universal donor of Plasma: AB negative
■ Cryoprecipitate. Answer: Concentrate of coagulation factors obtained
from fresh frozen plasma
Increases fibrinogen in the bloodstream
■ Blood Transfusion in Peds. Answer: One unit of blood is 10ml/kg
, ■ Complications of MTP. Answer: Hypothermia - warm all fluids and
blood
Hypocalcemia - replace calcium
Acidosis - sodium bicarb
TRALI - stop transfusion, supplemental oxygen
■ Transfusion-Related Acute Lung Injury (TRALI). Answer: Pulmonary
edema due to rapid blood administration
■ MTP Protocol. Answer: 1 : 1 : 1
RBC : Plasma : Platelet
■ Blood Loss Grades. Answer: I - Loss of 15% with normal BP
II - Loss of 15-30% with normal BP
III - Loss: of 31-40% with lowered BP
IV - Loss > 40% with hemodynamic instability
■ Permissive Hypotension. Answer: Maintaining BP as low as 70/40 so
allow for clotting.
Contra-indicated in head injuries, peds, and elderly
■ SCIWORA. Answer: Spinal Cord Injury WithOut Radiological
Abnormality
2026 QUESTIONS WITH SOLUTIONS 100%
CORRECT.
■ Late (Decompensated) Shock. Answer: Decreased BP
Tachycardia
Shallow and rapid RR
Increased Lactic
Decreased LOC
Decreased urinary output
■ BUN to Creatinine Ratio. Answer: Normal - 10:1
Indicated effective renal function
■ Trauma Triad of Death. Answer: Hypothermia
Acidosis
Coagulopathies
■ Effects of Acidosis. Answer: Increased ICP
Exacerbates coagulopathies
,Depressed myocardial contractility
■ DIC. Answer: Excessive clotting > all clotting factors used > no more
clotting > excessive bleeding
■ Effects of coagulopathies. Answer: Decreased platelet count
Decreased fibrinogen
Decreased HnH
Increased PT, PTT
Increased Ddimer
■ Multi-Organ Dysfunction Syndrome (MODS). Answer: Irreversible
Shock resulting from Triad of Death
Symptoms start within the first week after trauma
■ Steps to control hemorrhage. Answer: Tourniquet
TXA
REBOA
Permissive Hypotension
■ Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA).
Answer: Occlusion of the Aorta below the diaphragm to reduce bleeding
,■ Type A. Answer: RBC: Type A, O
Plasma: Type A, AB
■ Type B. Answer: RBC: Type B, O
Plasma: Type B, AB
■ Type AB. Answer: RBC: Type A, B, AB, O
Plasma: AB
■ Type O. Answer: RBC: Type O
Plasma: Type A, B, AB, O
■ Universal Donor of RBC and Plasma. Answer: Universal donor of
RBC: O negative
Universal donor of Plasma: AB negative
■ Cryoprecipitate. Answer: Concentrate of coagulation factors obtained
from fresh frozen plasma
Increases fibrinogen in the bloodstream
■ Blood Transfusion in Peds. Answer: One unit of blood is 10ml/kg
, ■ Complications of MTP. Answer: Hypothermia - warm all fluids and
blood
Hypocalcemia - replace calcium
Acidosis - sodium bicarb
TRALI - stop transfusion, supplemental oxygen
■ Transfusion-Related Acute Lung Injury (TRALI). Answer: Pulmonary
edema due to rapid blood administration
■ MTP Protocol. Answer: 1 : 1 : 1
RBC : Plasma : Platelet
■ Blood Loss Grades. Answer: I - Loss of 15% with normal BP
II - Loss of 15-30% with normal BP
III - Loss: of 31-40% with lowered BP
IV - Loss > 40% with hemodynamic instability
■ Permissive Hypotension. Answer: Maintaining BP as low as 70/40 so
allow for clotting.
Contra-indicated in head injuries, peds, and elderly
■ SCIWORA. Answer: Spinal Cord Injury WithOut Radiological
Abnormality
