TCAR POST EXAM QUESTION BANK
||FREQUENTLY TESTED QUESTIONS AND
CORRECT {100% VERIFIED} ANSWERS
GRADED A+ 2026 UPDATE
TCAR POST SUCCESS!!!
1
,MULTIPLE CHOICES
Question 1
A 45-year-old unrestrained driver in a high-speed MVC is found unresponsive with irregular
respirations and unequal pupils. Which injury mechanism is most likely responsible for this
presentation?
A) Epidural hematoma with lucid interval
B) Diffuse axonal injury from rotational forces
C) Basilar skull fracture with CSF leak
D) Subdural hematoma from venous bleeding
Answer: B
Rapid acceleration-deceleration causes widespread shearing of axons at gray-white matter
junctions, leading to immediate coma without focal bleeding; epidural bleeds typically have a
lucid interval.
Question 2
During the primary survey of a trauma patient, which assessment finding takes the highest
priority for immediate lifesaving intervention?
A) Open femur fracture with active bleeding
B) GCS score of 10 with airway intact
C) Diminished breath sounds on the right with tracheal deviation
D) Absent radial pulses with warm skin
Answer: C
Tension pneumothorax presents with absent breath sounds, tracheal deviation, and hemodynamic
instability—immediate needle decompression is required as it is immediately life-threatening .
TCAR POST SUCCESS!!!
2
,Question 3
What is the first question you should ask when assessing any patient with a traumatic injury?
A) What is the patient's GCS score?
B) What was the dose of energy involved?
C) Did the patient lose consciousness?
D) What are the patient's vital signs?
Answer: B
The dose and nature of energy (high vs low velocity) predicts injury patterns and guides
assessment kinematics is the foundation of trauma evaluation.
Question 4
A patient with blunt abdominal trauma after an MVC presents with tachycardia, hypotension (BP
80/50), and a distended, tender abdomen. Which organ is most likely the source of life-
threatening hemorrhage?
A) Pancreas
B) Liver
C) Spleen
D) Small intestine
Answer: C
The spleen is the most commonly injured organ in blunt abdominal trauma, especially from left-
sided impacts or steering wheel injuries, and can rapidly exsanguinate .
Question 5
TCAR POST SUCCESS!!!
3
, A 30-year-old is thrown from a motorcycle and lands on pavement. Which mechanism best
explains potential internal injuries despite an intact chest wall?
A) Direct impact only
B) Temporary cavitation from energy transfer
C) Permanent cavity formation
D) Secondary projectile injury
Answer: B
Temporary cavitation occurs when kinetic energy is transferred to tissues, creating a pressure
wave that damages structures not directly in the missile's path critical in blunt and penetrating
trauma.
Question 6
A patient with a stab wound to the left chest has an oxygen saturation of 88% on 100% non-
rebreather, hypotension, and absent breath sounds on the left. Immediate action is:
A) Chest x-ray to confirm pneumothorax
B) Needle decompression at the 2nd intercostal space, midclavicular line
C) CT chest to localize injury
D) Place patient in Trendelenburg position
Answer: B
Tension pneumothorax is a clinical diagnosis requiring immediate decompression; waiting for
imaging delays lifesaving intervention.
Question 7
TCAR POST SUCCESS!!!
4
||FREQUENTLY TESTED QUESTIONS AND
CORRECT {100% VERIFIED} ANSWERS
GRADED A+ 2026 UPDATE
TCAR POST SUCCESS!!!
1
,MULTIPLE CHOICES
Question 1
A 45-year-old unrestrained driver in a high-speed MVC is found unresponsive with irregular
respirations and unequal pupils. Which injury mechanism is most likely responsible for this
presentation?
A) Epidural hematoma with lucid interval
B) Diffuse axonal injury from rotational forces
C) Basilar skull fracture with CSF leak
D) Subdural hematoma from venous bleeding
Answer: B
Rapid acceleration-deceleration causes widespread shearing of axons at gray-white matter
junctions, leading to immediate coma without focal bleeding; epidural bleeds typically have a
lucid interval.
Question 2
During the primary survey of a trauma patient, which assessment finding takes the highest
priority for immediate lifesaving intervention?
A) Open femur fracture with active bleeding
B) GCS score of 10 with airway intact
C) Diminished breath sounds on the right with tracheal deviation
D) Absent radial pulses with warm skin
Answer: C
Tension pneumothorax presents with absent breath sounds, tracheal deviation, and hemodynamic
instability—immediate needle decompression is required as it is immediately life-threatening .
TCAR POST SUCCESS!!!
2
,Question 3
What is the first question you should ask when assessing any patient with a traumatic injury?
A) What is the patient's GCS score?
B) What was the dose of energy involved?
C) Did the patient lose consciousness?
D) What are the patient's vital signs?
Answer: B
The dose and nature of energy (high vs low velocity) predicts injury patterns and guides
assessment kinematics is the foundation of trauma evaluation.
Question 4
A patient with blunt abdominal trauma after an MVC presents with tachycardia, hypotension (BP
80/50), and a distended, tender abdomen. Which organ is most likely the source of life-
threatening hemorrhage?
A) Pancreas
B) Liver
C) Spleen
D) Small intestine
Answer: C
The spleen is the most commonly injured organ in blunt abdominal trauma, especially from left-
sided impacts or steering wheel injuries, and can rapidly exsanguinate .
Question 5
TCAR POST SUCCESS!!!
3
, A 30-year-old is thrown from a motorcycle and lands on pavement. Which mechanism best
explains potential internal injuries despite an intact chest wall?
A) Direct impact only
B) Temporary cavitation from energy transfer
C) Permanent cavity formation
D) Secondary projectile injury
Answer: B
Temporary cavitation occurs when kinetic energy is transferred to tissues, creating a pressure
wave that damages structures not directly in the missile's path critical in blunt and penetrating
trauma.
Question 6
A patient with a stab wound to the left chest has an oxygen saturation of 88% on 100% non-
rebreather, hypotension, and absent breath sounds on the left. Immediate action is:
A) Chest x-ray to confirm pneumothorax
B) Needle decompression at the 2nd intercostal space, midclavicular line
C) CT chest to localize injury
D) Place patient in Trendelenburg position
Answer: B
Tension pneumothorax is a clinical diagnosis requiring immediate decompression; waiting for
imaging delays lifesaving intervention.
Question 7
TCAR POST SUCCESS!!!
4
