SSM TCAR Exam Actual Exam 2026 | Trauma
Care after Resuscitation (TCAR) Exam |
Complete Questions and Correct Answers |
Brand New Version!
What are the definitive options for pelvic fracture stabilization and hemorrhage control? -
__100% correct answer as External Fixation
Interventional Radiology
Open reduction & Internal fixation
How are closed mid-shaft femur fractures managed? - __100% correct answer as
Intramedullary nail fixation
What makes a fracture comminuted? - __100% correct answer as The bone is in
multiple pieces
Physiologic criteria for trauma center care? - __100% correct answer as SBP<90
Resp rate <10 or >29
GCS <14
What is Kinematics? - __100% correct answer as The process of predicting
potential injuries based on analysis of the forces involved
Dose of energy is? - __100% correct answer as The nature and amount of force
Characteristic of wounding agent? - __100% correct answer as Type of energy
and how it was applied
Force - __100% correct answer as The dose of energy involved
Which gender is the majority of trauma? - __100% correct answer as Male
Incidence of trauma peaks at what age? - __100% correct answer as Teens and
young adult
Blunt trauma Classifications include? - __100% correct answer as MVA
Auto vs. pedestrian
,Falls
Struck by or against an object
Trauma mortality based on organ system failure? - __100% correct answer as 1
organ system failure=4%
2 organ system failures=32%
3 organ system failures=67%
4 organ system failures=90%
What are the four collisions? - __100% correct answer as 1. The vehicle
2. The occupants
3. The internal organs
4. The secondary impacts
Energy transmission in a rollover depends on? - __100% correct answer as
Deceleration distance
Energy is dissipated over the distance of the roll and whether or not the occupants are
restrained
Car vs pedestrian injuries depend on? - __100% correct answer as Point of
contact with the care
Height of hood & bumper
Size & weight of vehicle
Height of patient
Direction patient was facing when struck
What is the most common mechanism of injury in all age groups? - __100% correct
answer as Falls
Factors predicting fall injuries are? - __100% correct answer as Fall height
(velocity)
Landing surface (deceleration distance)
Point of impact on the body
Wound ballistics- permanent cavity - __100% correct answer as Cavity is the a
function of the size, shape, and characteristic of the missile (mass)
For every second of fall time, speed increases by? - __100% correct answer as
Speed increases by approximately 20 MPH
Define Shock? - __100% correct answer as A state in which cellular oxygen
demand exceeds supply
When the cost of tissue oxygen is higher than the body can pay, an oxygen debt
develops.
, Types of shock per TCAR? - __100% correct answer as Pumps-Site of defect
heart
Pipes- site of defect is artery, veins or capillaries
Fluid-intravascular, interstitial or intracellular
VS in shock? - __100% correct answer as Narrow pulse pressure
Tachycardia
Low CO
How many ATP molecules are produced with oxygen & glucose? - __100% correct
answer as 32 ATP molecules
How many ATP molecules are produced without oxygen? - __100% correct
answer as 2 ATP molecules
Normal pH? - __100% correct answer as Refernce range is 7.35-7.45, but actual
normal range is 7.38-7.42
What is the footprint of shock? - __100% correct answer as Lactic Acidosis
What 2 things affect the amount of oxygen availalbe to the cells? - __100% correct
answer as Temperature & pH, which is the oxyhemoglobin dissociation curve
Oxyhemoglobin dissociation shift to the right? - __100% correct answer as
Acidosis, elevated temp
More oxygen available to the cells
Oxyhemoglobin dissociation curve shift to the left? - __100% correct answer as
Hypothermia, alkalosis
Less oxygen available to the cells
H & H is a measure of ? - __100% correct answer as It is a measure of
hemodilution rather than blood loss.
What are the hormonal responses to shock? - __100% correct answer as Promote
body water retentions by secretion of ADH & activation of RAAS
What are the inflammatory responses to shock? - __100% correct answer as
SIRS
Which is a production of pro-inflammatory mediators, histamine release, and capillary
leakage
Care after Resuscitation (TCAR) Exam |
Complete Questions and Correct Answers |
Brand New Version!
What are the definitive options for pelvic fracture stabilization and hemorrhage control? -
__100% correct answer as External Fixation
Interventional Radiology
Open reduction & Internal fixation
How are closed mid-shaft femur fractures managed? - __100% correct answer as
Intramedullary nail fixation
What makes a fracture comminuted? - __100% correct answer as The bone is in
multiple pieces
Physiologic criteria for trauma center care? - __100% correct answer as SBP<90
Resp rate <10 or >29
GCS <14
What is Kinematics? - __100% correct answer as The process of predicting
potential injuries based on analysis of the forces involved
Dose of energy is? - __100% correct answer as The nature and amount of force
Characteristic of wounding agent? - __100% correct answer as Type of energy
and how it was applied
Force - __100% correct answer as The dose of energy involved
Which gender is the majority of trauma? - __100% correct answer as Male
Incidence of trauma peaks at what age? - __100% correct answer as Teens and
young adult
Blunt trauma Classifications include? - __100% correct answer as MVA
Auto vs. pedestrian
,Falls
Struck by or against an object
Trauma mortality based on organ system failure? - __100% correct answer as 1
organ system failure=4%
2 organ system failures=32%
3 organ system failures=67%
4 organ system failures=90%
What are the four collisions? - __100% correct answer as 1. The vehicle
2. The occupants
3. The internal organs
4. The secondary impacts
Energy transmission in a rollover depends on? - __100% correct answer as
Deceleration distance
Energy is dissipated over the distance of the roll and whether or not the occupants are
restrained
Car vs pedestrian injuries depend on? - __100% correct answer as Point of
contact with the care
Height of hood & bumper
Size & weight of vehicle
Height of patient
Direction patient was facing when struck
What is the most common mechanism of injury in all age groups? - __100% correct
answer as Falls
Factors predicting fall injuries are? - __100% correct answer as Fall height
(velocity)
Landing surface (deceleration distance)
Point of impact on the body
Wound ballistics- permanent cavity - __100% correct answer as Cavity is the a
function of the size, shape, and characteristic of the missile (mass)
For every second of fall time, speed increases by? - __100% correct answer as
Speed increases by approximately 20 MPH
Define Shock? - __100% correct answer as A state in which cellular oxygen
demand exceeds supply
When the cost of tissue oxygen is higher than the body can pay, an oxygen debt
develops.
, Types of shock per TCAR? - __100% correct answer as Pumps-Site of defect
heart
Pipes- site of defect is artery, veins or capillaries
Fluid-intravascular, interstitial or intracellular
VS in shock? - __100% correct answer as Narrow pulse pressure
Tachycardia
Low CO
How many ATP molecules are produced with oxygen & glucose? - __100% correct
answer as 32 ATP molecules
How many ATP molecules are produced without oxygen? - __100% correct
answer as 2 ATP molecules
Normal pH? - __100% correct answer as Refernce range is 7.35-7.45, but actual
normal range is 7.38-7.42
What is the footprint of shock? - __100% correct answer as Lactic Acidosis
What 2 things affect the amount of oxygen availalbe to the cells? - __100% correct
answer as Temperature & pH, which is the oxyhemoglobin dissociation curve
Oxyhemoglobin dissociation shift to the right? - __100% correct answer as
Acidosis, elevated temp
More oxygen available to the cells
Oxyhemoglobin dissociation curve shift to the left? - __100% correct answer as
Hypothermia, alkalosis
Less oxygen available to the cells
H & H is a measure of ? - __100% correct answer as It is a measure of
hemodilution rather than blood loss.
What are the hormonal responses to shock? - __100% correct answer as Promote
body water retentions by secretion of ADH & activation of RAAS
What are the inflammatory responses to shock? - __100% correct answer as
SIRS
Which is a production of pro-inflammatory mediators, histamine release, and capillary
leakage
