2022 NEW EXAM FOR TCRN QUESTIONS AND ANSWERS: TRUNK PART 1 (THORACIC & ABDOMINAL TRAUMA)

2022 NEW EXAM FOR TCRN QUESTIONS AND ANSWERS: TRUNK PART 1 (THORACIC & ABDOMINAL
TRAUMA)

When should impaled objects be removed? - CORRECT ANSWER Preferably in the OR, under controlled
circumstances.



True or false: Bullet wounds follow a predictable pattern of injury? - CORRECT ANSWER False: A bullet
wound is an example of a "blast" wound which has an unpredictable trajectory and must consider path
of tissue injury related to shock/stress waves.



Name six life-threatning chest injuries: - CORRECT ANSWER 1. Laryngeotracheal Injury/Airway
Obstruction

2. Tension Pneumothorax

3. Open Pneumothorax

4.Flail chest and pulmonary contusion

5. Massive hemothorax

6. Cardiac tamponade



What are the four pathophysiological consequenses of life-threatning chest injuries? - CORRECT
ANSWER 1. Hypoxia

2. Hypoventilation

3. Respiratory/metabolic acidosis

4. Inadequate tissue perfusion



What alternative should you consider with an abusive and/or belligerant patient? - CORRECT ANSWER
Hypoxia (beyond intoxication of alcohol and drugs)



Is cyanosis an early or late finding of hypoxemia? - CORRECT ANSWER Late



During a tension pneumothorax the mediastinal structures shift where? - CORRECT ANSWER Opposite
the affected side