1|Page
TCAR FINAL EXAM-TRAUMA CARE EXAM 2026/2027
Actual Complete Real Verified Exam Questions &
Correct Well Elaborated Answers ||Newest Exam!!!
ribs that are the most frequently broken - Answer-ribs 4-9
b/c long, thin, and poorly protecte
it is harder to break a short pencil (T1-2) and easier to
break a longer one
*ask how many and where to understand the force
involved
what is the significance of posterior rib fractures - Answer-
unusual direction of injury
shorter stubby ribs
good muscle profection
**posterior rib fractures have a lot of force so need a high
dose.
***PRF need a lot of force so high dose of energy. big red
flag for t-spine injury
indication of c-spine injury - Answer-to injure c-spine, you
don't need a big energy blow. all it takes is shaking
around.
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c spine versus t spine fractures - Answer-c-spine doesn't
need a big energy blow. just some shaking around
t-spine needs a great strong direct blow (not just a shock_
treatment for rib fractures - Answer-largely supportive
nursing care like pulmonary toilet
CXR and rib fractures - Answer-simple rib fractures are
difficult to see on CXR and can be commonly missed
(1/2 of all rib fractures aren't identified at the POI CXR)
identify a previous rib fracture on CXR - Answer-once
healed, rib fractures form bony callouses and become
more visible on CXR
how to tell a pt has a pneumonia from a CXR - Answer-
dark spot that is not equal to the opposite side
consider if a pt has a lower rib fracture - Answer-liver &
spleen injury
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acts like BBQ/marshmellow skewers
how high does the diaphragm rise on inspiration - Answer-
level of 4th ICS
risk of rib fractures - Answer-can puncture liver, spleen,,
diaphragm
pop lungs
+2 adjacent rib fractures - Answer-flail chest
free floating sternum - Answer-flail chest
definition of flail chest - Answer-+2 adjacent rib fracture
free floating sternum
why is flail chest a problem - Answer-b/c breathing is a
mechanical process
paradoxical chest movements - Answer-in flail chest
, 4|Page
s/s of flail chest - Answer-paradoxical chest wall
movement
3 questions to ask in trauma - Answer--what was the dose
of energy?
-where did it go?
-what injuries are likely?
2 q's to ask in GSW - Answer-caliber
type of gun
# of entrance/exit wounds
high/low velocity
1st question to ask in any traumatic injury? - Answer-what
was the dose of energy involved?
(was it high or low?)
what is the caliber of a bullet? - Answer-diameter
aka diameter of a bullet - Answer-caliber
TCAR FINAL EXAM-TRAUMA CARE EXAM 2026/2027
Actual Complete Real Verified Exam Questions &
Correct Well Elaborated Answers ||Newest Exam!!!
ribs that are the most frequently broken - Answer-ribs 4-9
b/c long, thin, and poorly protecte
it is harder to break a short pencil (T1-2) and easier to
break a longer one
*ask how many and where to understand the force
involved
what is the significance of posterior rib fractures - Answer-
unusual direction of injury
shorter stubby ribs
good muscle profection
**posterior rib fractures have a lot of force so need a high
dose.
***PRF need a lot of force so high dose of energy. big red
flag for t-spine injury
indication of c-spine injury - Answer-to injure c-spine, you
don't need a big energy blow. all it takes is shaking
around.
,2|Page
c spine versus t spine fractures - Answer-c-spine doesn't
need a big energy blow. just some shaking around
t-spine needs a great strong direct blow (not just a shock_
treatment for rib fractures - Answer-largely supportive
nursing care like pulmonary toilet
CXR and rib fractures - Answer-simple rib fractures are
difficult to see on CXR and can be commonly missed
(1/2 of all rib fractures aren't identified at the POI CXR)
identify a previous rib fracture on CXR - Answer-once
healed, rib fractures form bony callouses and become
more visible on CXR
how to tell a pt has a pneumonia from a CXR - Answer-
dark spot that is not equal to the opposite side
consider if a pt has a lower rib fracture - Answer-liver &
spleen injury
,3|Page
acts like BBQ/marshmellow skewers
how high does the diaphragm rise on inspiration - Answer-
level of 4th ICS
risk of rib fractures - Answer-can puncture liver, spleen,,
diaphragm
pop lungs
+2 adjacent rib fractures - Answer-flail chest
free floating sternum - Answer-flail chest
definition of flail chest - Answer-+2 adjacent rib fracture
free floating sternum
why is flail chest a problem - Answer-b/c breathing is a
mechanical process
paradoxical chest movements - Answer-in flail chest
, 4|Page
s/s of flail chest - Answer-paradoxical chest wall
movement
3 questions to ask in trauma - Answer--what was the dose
of energy?
-where did it go?
-what injuries are likely?
2 q's to ask in GSW - Answer-caliber
type of gun
# of entrance/exit wounds
high/low velocity
1st question to ask in any traumatic injury? - Answer-what
was the dose of energy involved?
(was it high or low?)
what is the caliber of a bullet? - Answer-diameter
aka diameter of a bullet - Answer-caliber
