SSM TCAR Exam Actual Exam 2025 | Trauma
Care after Resuscitation (TCAR) Exam |
Complete Questions and Correct Answers |
Brand New Version!
What is muscle compartment syndrome? ---------CORRECT ANSWER------
-----------Elevated fascial compartment pressure, higher than arterial
pressure. MOST prominent symptom is unrelieved pain
What is the ankle-brachial pressure index? ---------CORRECT ANSWER----
-------------SBP of ankle (lower leg) divided by
SBP of brachial (upper arm), normal is 1,
<0.8 means decreased flow
What are symptoms of fat embolism syndrome and when do they
occur? ---------CORRECT ANSWER-----------------Respiratory (tachypnea),
neuro (agitation, anxiety) and dermal (petechial rash on chest), occur
12-72 hours after pelvic or long bone fractures
,What is a diffuse brain injury? ---------CORRECT ANSWER-----------------
Global, generalized. Directly affects consciousness, such as diffuse
axonal injury or concussion
What is a focal brain injury? ---------CORRECT ANSWER-----------------
Local, indirectly affects consciousness. Focal injuries are something you
could point to like a skull fracture or bleed
What events are typical of diffuse brain injuries? ---------CORRECT
ANSWER-----------------Following the injury, there is a transient loss of
consciousness, then the brain re-boots
What are clinical findings suggestive of TBI? ---------CORRECT ANSWER---
--------------Somatic-H/A, N&V, blurred vision, fatigue
Cognitive-confusion, impaired judgement
Emotional-depression, irritability, sleep disturbances
What area of the spinal cord has the fibers that control the upper
extremities and torso? ---------CORRECT ANSWER-----------------They are
located in the center of the cord
,What area of the spinal cord has fibers that control the lower
extremites? ---------CORRECT ANSWER-----------------They run along the
outer edges of the cord
What does central cord damage produce? ---------CORRECT ANSWER-----
------------It causes paralegia, in which the leg function exceeds that of
the arms
They can sing and dance, but can't play the piano
What is seen with Spinal Shock? ---------CORRECT ANSWER-----------------
Temporary loss of spinal reflex activity
"Limp Noodles"
Resolves in hours-to-weeks
As it resolves, pt develops contractures, spasticity & hyperreflexion
What is neurogenic shock & what happens? ---------CORRECT 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? ---------CORRECT
ANSWER-----------------Bradycardia, hypotension, and widened pulse
pressure
What are injuries seen with lap belts only? ---------CORRECT ANSWER----
-------------Lumbar spine fractures are a risk, and may not be evident
until the patient stands
How much volume can a pelvic fracture lose? ---------CORRECT
ANSWER-----------------High risk of hemorrhage, and lose 750-5000 ml of
blood
How are open book pelvic fractures managed? ---------CORRECT
ANSWER-----------------May be managed with external fixators
How are lateral compression fractures managed? ---------CORRECT
ANSWER-----------------Usally required ORIF
Care after Resuscitation (TCAR) Exam |
Complete Questions and Correct Answers |
Brand New Version!
What is muscle compartment syndrome? ---------CORRECT ANSWER------
-----------Elevated fascial compartment pressure, higher than arterial
pressure. MOST prominent symptom is unrelieved pain
What is the ankle-brachial pressure index? ---------CORRECT ANSWER----
-------------SBP of ankle (lower leg) divided by
SBP of brachial (upper arm), normal is 1,
<0.8 means decreased flow
What are symptoms of fat embolism syndrome and when do they
occur? ---------CORRECT ANSWER-----------------Respiratory (tachypnea),
neuro (agitation, anxiety) and dermal (petechial rash on chest), occur
12-72 hours after pelvic or long bone fractures
,What is a diffuse brain injury? ---------CORRECT ANSWER-----------------
Global, generalized. Directly affects consciousness, such as diffuse
axonal injury or concussion
What is a focal brain injury? ---------CORRECT ANSWER-----------------
Local, indirectly affects consciousness. Focal injuries are something you
could point to like a skull fracture or bleed
What events are typical of diffuse brain injuries? ---------CORRECT
ANSWER-----------------Following the injury, there is a transient loss of
consciousness, then the brain re-boots
What are clinical findings suggestive of TBI? ---------CORRECT ANSWER---
--------------Somatic-H/A, N&V, blurred vision, fatigue
Cognitive-confusion, impaired judgement
Emotional-depression, irritability, sleep disturbances
What area of the spinal cord has the fibers that control the upper
extremities and torso? ---------CORRECT ANSWER-----------------They are
located in the center of the cord
,What area of the spinal cord has fibers that control the lower
extremites? ---------CORRECT ANSWER-----------------They run along the
outer edges of the cord
What does central cord damage produce? ---------CORRECT ANSWER-----
------------It causes paralegia, in which the leg function exceeds that of
the arms
They can sing and dance, but can't play the piano
What is seen with Spinal Shock? ---------CORRECT ANSWER-----------------
Temporary loss of spinal reflex activity
"Limp Noodles"
Resolves in hours-to-weeks
As it resolves, pt develops contractures, spasticity & hyperreflexion
What is neurogenic shock & what happens? ---------CORRECT 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? ---------CORRECT
ANSWER-----------------Bradycardia, hypotension, and widened pulse
pressure
What are injuries seen with lap belts only? ---------CORRECT ANSWER----
-------------Lumbar spine fractures are a risk, and may not be evident
until the patient stands
How much volume can a pelvic fracture lose? ---------CORRECT
ANSWER-----------------High risk of hemorrhage, and lose 750-5000 ml of
blood
How are open book pelvic fractures managed? ---------CORRECT
ANSWER-----------------May be managed with external fixators
How are lateral compression fractures managed? ---------CORRECT
ANSWER-----------------Usally required ORIF
