2022 NEW TCRN PRACTICE EXAM QUESTIONS WITH CORRECT ANSWERS PROVIDED: HEAD
AND NECK
How do you remember the cranial nerves? - CORRECT ANSWER "On Old Olympus Towering
Tops A Finn And German Viewed Some Hops"
How do you remember which cranial nerves are responsible for sensory/motor/both? -
CORRECT ANSWER "Some Say Marry Money But My Brother Says Big Brains Matter Most"
Which cranial nerves do not originate in the brain stem? - CORRECT ANSWER Olfactory and
Optic nerves
What cranial nerve deficits might you see with a basilar skull fracture? - CORRECT ANSWER
Facial nerve palsy, oculomotor palsy, hearing loss
Name the three layers of the meninges: - CORRECT ANSWER Pia, Arachnoid, Dura
What is the Monroe Kellie hypothesis? - CORRECT ANSWER Shifting of pressure to compensate
for an increase in ICP
What are the differences between an epidural hematoma and subdural hematoma? SAH? -
CORRECT ANSWER -Epidural hematomas: between skull and outside of dura (arterial bleeding,
middle meningeal artery)
-Subdural hematoma: between brain and inside of dura (venous bleeding, cortical veins)
-Subarachnoid hemorrhage: between arachnoid and pia (arterial bleeding, usually cerebral
artery aneurysm)
At what spinal cord level is the diaphragm innervated? - CORRECT ANSWER "C3-5 keeps the
diaphragm alive" (Phrenic nerve)
Name three common incomplete spinal cord injuries and their symptoms: - CORRECT ANSWER -
Anterior Cord Syndrome (Paralysis below level of injury and loss of pain and temperature
sensation. Proprioception and vibratory sensation intact.)
-Central Cord Syndrome (Inability to lift arms and hands completely, or numbness and tingling)
-Brown Sequard Syndrome (Loss of motor on side of injury, loss of sensation on opposite side)
Name two types of secondary brain injury: - CORRECT ANSWER -Hypoperfusion
-Hypoxia
-Hypo/Hypercapnia
What is a normal ICP? - CORRECT ANSWER 0-15 mmHg, >20 may require intervention
In the immediate, primary survey of a trauma patient, ABCDE is a mneumonic for? - CORRECT
ANSWER Airway, Breathing, Circulation, Disability, Exposure
AND NECK
How do you remember the cranial nerves? - CORRECT ANSWER "On Old Olympus Towering
Tops A Finn And German Viewed Some Hops"
How do you remember which cranial nerves are responsible for sensory/motor/both? -
CORRECT ANSWER "Some Say Marry Money But My Brother Says Big Brains Matter Most"
Which cranial nerves do not originate in the brain stem? - CORRECT ANSWER Olfactory and
Optic nerves
What cranial nerve deficits might you see with a basilar skull fracture? - CORRECT ANSWER
Facial nerve palsy, oculomotor palsy, hearing loss
Name the three layers of the meninges: - CORRECT ANSWER Pia, Arachnoid, Dura
What is the Monroe Kellie hypothesis? - CORRECT ANSWER Shifting of pressure to compensate
for an increase in ICP
What are the differences between an epidural hematoma and subdural hematoma? SAH? -
CORRECT ANSWER -Epidural hematomas: between skull and outside of dura (arterial bleeding,
middle meningeal artery)
-Subdural hematoma: between brain and inside of dura (venous bleeding, cortical veins)
-Subarachnoid hemorrhage: between arachnoid and pia (arterial bleeding, usually cerebral
artery aneurysm)
At what spinal cord level is the diaphragm innervated? - CORRECT ANSWER "C3-5 keeps the
diaphragm alive" (Phrenic nerve)
Name three common incomplete spinal cord injuries and their symptoms: - CORRECT ANSWER -
Anterior Cord Syndrome (Paralysis below level of injury and loss of pain and temperature
sensation. Proprioception and vibratory sensation intact.)
-Central Cord Syndrome (Inability to lift arms and hands completely, or numbness and tingling)
-Brown Sequard Syndrome (Loss of motor on side of injury, loss of sensation on opposite side)
Name two types of secondary brain injury: - CORRECT ANSWER -Hypoperfusion
-Hypoxia
-Hypo/Hypercapnia
What is a normal ICP? - CORRECT ANSWER 0-15 mmHg, >20 may require intervention
In the immediate, primary survey of a trauma patient, ABCDE is a mneumonic for? - CORRECT
ANSWER Airway, Breathing, Circulation, Disability, Exposure
