SSM TCAR EXAM 2026 WITH WELL VERIFIED
QUESTIONS AND ANSWERS
What is neurogenic shock & what happens? - ANSWER-It is a distributive
shock, causing massive vasodilation causing relative hypovolemia leading to
inadequate tissue and organ perfusion.
What symptoms are seen with neurogenic shock? - ANSWER-Bradycardia,
hypotension, and widened pulse pressure
What are injuries seen with lap belts only? - ANSWER-Lumbar spine fractures
are a risk, and may not be evident until the patient stands
How much volume can a pelvic fracture lose? - ANSWER-High risk of
hemorrhage, and lose 750-5000 ml of blood
How are open book pelvic fractures managed? - ANSWER-May be managed
with external fixators
How are lateral compression fractures managed? - ANSWER-Usally required
ORIF
How much hemorrhagic volume is associated with a humerus fracture? -
ANSWER-500-1500 ml
How much hemorrhagic volume is associated with a tibia/fibula fracture? -
ANSWER-250-1000ml
,How much hemorrhagic volume is associated with a femur fracture? -
ANSWER-500-3000 ml
What is the Functional Independence Measure? - ANSWER-It quantifies
functional ability in any patient population and is widely used to document
rehabilitation progress.
What is the Glasgow Coma Scale? - ANSWER-It is used to assess patient
during and after recovery from a traumatic brain injury, stroke or neurological
insult
What is the Rancho Los Amigos Scale used for? - ANSWER-It is used to assess
the level of recovery in brain injured patients and persons recovering from coma
What is the Revised Trauma Score? - ANSWER-It is a score system used to
predict probability of death after injury
What is the purpose of morbidity and mortality? - ANSWER-It is an
opportunity to examine all deaths and any unexpected adverse occurrences to
identify system weaknesses, educational deficits and judgment of behavior
errors
What is the appropriate action in a multi-causuality event? - ANSWER-Activate
the hospitals external disaster alert. The person in-charge is the incident
commander
What is the definitive treatment option for pelivc fracture stabilization? -
ANSWER-External fixation to stabilize and IVR for emboliation to control
bleeding
, What is the common intervention for comminuted open tib-fib fracture? -
ANSWER-Surgical debridement and external fixation
What is the primary benefit of wearing a lap belt? - ANSWER-Prevents ejection
Why do 3/4 of passengers totally ejected from the vehicle sustain fatal injuries?
- ANSWER-Less energy is absorbed by the vehicle, resulting in more energy
being directly applied to the body surface and organs
Why do airbags work in decreasing inury? - ANSWER-They add deceleration
distance
What are typical airbag injuries? - ANSWER-Facial abrasions/burns
Ocular injuries
Hand and forearm injuries
What are local signs of splenic injury? - ANSWER-Left flank bruising
LUQ paintenderness
Abdominal distention/rigidity
With a splenic injury, what are signs of blood loss? - ANSWER-Tachycardia,
hypotension
Decrease H&H
Kehrs sign
What is Kehrs sign? - ANSWER-Pain from diahragmatic irritation referred to
the shoulder, typically the left shoulder. In a trauma patient, Kehr's signs
stronlgy suggest splenic injury
QUESTIONS AND ANSWERS
What is neurogenic shock & what happens? - ANSWER-It is a distributive
shock, causing massive vasodilation causing relative hypovolemia leading to
inadequate tissue and organ perfusion.
What symptoms are seen with neurogenic shock? - ANSWER-Bradycardia,
hypotension, and widened pulse pressure
What are injuries seen with lap belts only? - ANSWER-Lumbar spine fractures
are a risk, and may not be evident until the patient stands
How much volume can a pelvic fracture lose? - ANSWER-High risk of
hemorrhage, and lose 750-5000 ml of blood
How are open book pelvic fractures managed? - ANSWER-May be managed
with external fixators
How are lateral compression fractures managed? - ANSWER-Usally required
ORIF
How much hemorrhagic volume is associated with a humerus fracture? -
ANSWER-500-1500 ml
How much hemorrhagic volume is associated with a tibia/fibula fracture? -
ANSWER-250-1000ml
,How much hemorrhagic volume is associated with a femur fracture? -
ANSWER-500-3000 ml
What is the Functional Independence Measure? - ANSWER-It quantifies
functional ability in any patient population and is widely used to document
rehabilitation progress.
What is the Glasgow Coma Scale? - ANSWER-It is used to assess patient
during and after recovery from a traumatic brain injury, stroke or neurological
insult
What is the Rancho Los Amigos Scale used for? - ANSWER-It is used to assess
the level of recovery in brain injured patients and persons recovering from coma
What is the Revised Trauma Score? - ANSWER-It is a score system used to
predict probability of death after injury
What is the purpose of morbidity and mortality? - ANSWER-It is an
opportunity to examine all deaths and any unexpected adverse occurrences to
identify system weaknesses, educational deficits and judgment of behavior
errors
What is the appropriate action in a multi-causuality event? - ANSWER-Activate
the hospitals external disaster alert. The person in-charge is the incident
commander
What is the definitive treatment option for pelivc fracture stabilization? -
ANSWER-External fixation to stabilize and IVR for emboliation to control
bleeding
, What is the common intervention for comminuted open tib-fib fracture? -
ANSWER-Surgical debridement and external fixation
What is the primary benefit of wearing a lap belt? - ANSWER-Prevents ejection
Why do 3/4 of passengers totally ejected from the vehicle sustain fatal injuries?
- ANSWER-Less energy is absorbed by the vehicle, resulting in more energy
being directly applied to the body surface and organs
Why do airbags work in decreasing inury? - ANSWER-They add deceleration
distance
What are typical airbag injuries? - ANSWER-Facial abrasions/burns
Ocular injuries
Hand and forearm injuries
What are local signs of splenic injury? - ANSWER-Left flank bruising
LUQ paintenderness
Abdominal distention/rigidity
With a splenic injury, what are signs of blood loss? - ANSWER-Tachycardia,
hypotension
Decrease H&H
Kehrs sign
What is Kehrs sign? - ANSWER-Pain from diahragmatic irritation referred to
the shoulder, typically the left shoulder. In a trauma patient, Kehr's signs
stronlgy suggest splenic injury
