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Ssm Tcar Exam 2026/27 Actual Exam
Complete Questions With Detailed Verified
Answers (100% Correct Answers)
||Complete A+ Guide
Q1. A 45-year-old male arrives after a motor vehicle crash.
He is confused, pale, and has a weak radial pulse at 120/min.
Blood pressure is 100/70 mmHg. What stage of hemorrhagic
shock is this?
A) Class I
B) Class II
C) Class III
D) Class IV
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Correct Answer: B
Rationale: Class II shock involves 15–30% blood loss (750–
1500 mL). Signs include tachycardia (>100), mild hypotension,
anxiety, and narrowed pulse pressure. Class III would show more
severe hypotension and altered mental status.
Q2. Which of the following is the most sensitive early indicator
of developing shock in a trauma patient?
A) Mean arterial pressure (MAP) <65 mmHg
B) Base deficit greater than –6
C) Urine output <0.5 mL/kg/hr
D) Central venous pressure <8 mmHg
Correct Answer: B
Rationale: Base deficit reflects global tissue hypoperfusion and
lactic acidosis before vital signs change. It is an early metabolic
marker of shock.
Q3. During the primary survey, you identify a patient with a
patent airway but absent breath sounds on the left with
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tracheal deviation to the right. What is the immediate
intervention?
A) Endotracheal intubation
B) Needle decompression of the left chest
C) Chest tube insertion on the left
D) Occlusive dressing over the left chest
Correct Answer: B
Rationale: This describes tension pneumothorax. Needle
decompression (second intercostal space, midclavicular line) is
the immediate lifesaving intervention, followed by chest tube.
Q4. A 30-year-old female is stabbed in the upper right chest.
She is alert, breathing 22/min, with oxygen saturation 94% on
room air. Blood pressure is 110/70 mmHg. You hear distant
heart sounds and note jugular venous distension. What is the
most likely diagnosis?
A) Simple pneumothorax
B) Tension pneumothorax
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C) Cardiac tamponade
D) Massive hemothorax
Correct Answer: C
Rationale: Beck’s triad (hypotension, JVD, muffled heart sounds)
plus penetrating chest trauma suggests cardiac tamponade.
Immediate ultrasound (FAST) or pericardiocentesis is indicated.
Q5. In the primary survey, what does the “D” stand for after
circulation?
A) Disability (neurologic status)
B) Defibrillation
C) Drainage (urinary catheter)
D) Drug administration
Correct Answer: A
Rationale: D = Disability, which includes AVPU (Alert, Voice,
Pain, Unresponsive) or GCS assessment, pupillary exam, and
glucose check.
Ssm Tcar Exam 2026/27 Actual Exam
Complete Questions With Detailed Verified
Answers (100% Correct Answers)
||Complete A+ Guide
Q1. A 45-year-old male arrives after a motor vehicle crash.
He is confused, pale, and has a weak radial pulse at 120/min.
Blood pressure is 100/70 mmHg. What stage of hemorrhagic
shock is this?
A) Class I
B) Class II
C) Class III
D) Class IV
,Page 2 of 186
Correct Answer: B
Rationale: Class II shock involves 15–30% blood loss (750–
1500 mL). Signs include tachycardia (>100), mild hypotension,
anxiety, and narrowed pulse pressure. Class III would show more
severe hypotension and altered mental status.
Q2. Which of the following is the most sensitive early indicator
of developing shock in a trauma patient?
A) Mean arterial pressure (MAP) <65 mmHg
B) Base deficit greater than –6
C) Urine output <0.5 mL/kg/hr
D) Central venous pressure <8 mmHg
Correct Answer: B
Rationale: Base deficit reflects global tissue hypoperfusion and
lactic acidosis before vital signs change. It is an early metabolic
marker of shock.
Q3. During the primary survey, you identify a patient with a
patent airway but absent breath sounds on the left with
,Page 3 of 186
tracheal deviation to the right. What is the immediate
intervention?
A) Endotracheal intubation
B) Needle decompression of the left chest
C) Chest tube insertion on the left
D) Occlusive dressing over the left chest
Correct Answer: B
Rationale: This describes tension pneumothorax. Needle
decompression (second intercostal space, midclavicular line) is
the immediate lifesaving intervention, followed by chest tube.
Q4. A 30-year-old female is stabbed in the upper right chest.
She is alert, breathing 22/min, with oxygen saturation 94% on
room air. Blood pressure is 110/70 mmHg. You hear distant
heart sounds and note jugular venous distension. What is the
most likely diagnosis?
A) Simple pneumothorax
B) Tension pneumothorax
, Page 4 of 186
C) Cardiac tamponade
D) Massive hemothorax
Correct Answer: C
Rationale: Beck’s triad (hypotension, JVD, muffled heart sounds)
plus penetrating chest trauma suggests cardiac tamponade.
Immediate ultrasound (FAST) or pericardiocentesis is indicated.
Q5. In the primary survey, what does the “D” stand for after
circulation?
A) Disability (neurologic status)
B) Defibrillation
C) Drainage (urinary catheter)
D) Drug administration
Correct Answer: A
Rationale: D = Disability, which includes AVPU (Alert, Voice,
Pain, Unresponsive) or GCS assessment, pupillary exam, and
glucose check.
