AND CORRECT {VERIFIED} ANSWERS NEWEST
UPDATE|ALREADY GRADED A+.
This set mimics the format and difficulty level of the real TCAR post-exam and is designed to
help reinforce key trauma care concepts.
1. What is the most common cause of preventable death in trauma patients?
a. Hypothermia
b. Hemorrhage
c. Hypoxia
d. Infection
Rationale: Hemorrhage is the most common cause of preventable death following trauma,
especially in the prehospital and early hospital phases.
2. Which organ is most likely to be injured in blunt abdominal trauma?
a. Kidney
b. Pancreas
c. Spleen
d. Gallbladder
Rationale: The spleen is the most frequently injured organ in blunt abdominal trauma due to
its vascularity and location in the left upper quadrant.
3. In trauma, a systolic blood pressure less than 90 mmHg is a sign of:
,a. Spinal shock
b. Pain response
c. Hemorrhagic shock
d. Increased ICP
Rationale: Hypotension is a key indicator of hemorrhagic shock in trauma patients and
requires rapid intervention.
4. The "lethal triad" of trauma consists of hypothermia, coagulopathy, and:
a. Bradycardia
b. Acidosis
c. Hyperkalemia
d. Hypertension
Rationale: Acidosis, coagulopathy, and hypothermia contribute to worsening outcomes and
mortality in trauma patients.
5. What is the most reliable indicator of adequate perfusion?
a. Skin temperature
b. Level of consciousness
c. Pulse pressure
d. Heart rate
Rationale: The brain is sensitive to hypoperfusion, so changes in mental status are often the
earliest and most reliable signs.
6. In spinal cord injury, neurogenic shock is most commonly associated with which spinal
level?
, a. Lumbar
b. Cervical
c. Thoracic
d. Sacral
Rationale: Neurogenic shock typically occurs with injuries above T6, affecting sympathetic
tone and leading to bradycardia and hypotension.
7. Which trauma patient should be transported immediately to the operating room?
a. Closed head injury with GCS of 9
b. Penetrating abdominal wound with hypotension
c. Open femur fracture
d. Blunt chest trauma with stable vitals
Rationale: A hypotensive patient with a penetrating abdominal wound likely has ongoing
intra-abdominal bleeding requiring surgical intervention.
8. What is the earliest sign of increased intracranial pressure?
a. Vomiting
b. Altered mental status
c. Hypertension
d. Fixed pupils
Rationale: Early signs of increased ICP include confusion or restlessness due to decreased
cerebral perfusion.
9. Which type of shock is characterized by warm, dry skin and bradycardia?
a. Septic
b. Hypovolemic