TNCC Written Exam with 100% Correct
Answers 2024
What is the best measure of the adequacy of cellular perfusion and helps
predict the outcome of resuscitation? - ANSWER-Base deficit used in
conjunction with serum lactate
Will hypocapnia cause vasoconstriction or vasodilation, especially in the
cerebral vasculature? - ANSWER-Vasoconstriction
What results from tissue hypo perfusion and oxygen deficit? - ANSWER-
Metabolic acidosis
What type of shock results in generalized vasodilation? - ANSWER-Neurogenic
shock
Spinal cord injuries at C3-C5 causes loss of what nerves function, resulting
in what? - ANSWER-Phrenic nerve; paralyzed diaphragm and inability to
breath
Extremity elevation AT the level of the heart is beneficial for what type
of injury? - ANSWER-Compartment Syndrome
What is a high risk of frostbite? - ANSWER-Thrombus formation
What two medications can be administered to maintain perfusion after a
frostbite injury along with rewarming? - ANSWER-Tissue plasminogen
activator or non steroidal anti- inflammatory medication (NSAIDS)
An rise in diastolic blood pressures is a sign of increasing what? - ANSWER-
Peripheral resistance
What position will benefit the airway and work of breathing for the
bariatric patient? - ANSWER-Reverse Trendelenburg
Which phase of a blast results from flying debris, projectiles, and bomb
fragments causing lacerations or penetrating injuries? - ANSWER-
Secondary Phase
What phase of a blast results from any explosion-related illness or
injury including hyperglycemia, hypertension, angina, asthma, COPD,
or sepsis? - ANSWER- Quaternary Phase
What phase of a blast results from individuals being thrown by the blast and
impacting walls, ground, or any hard object? - ANSWER-Tertiary Phase
, What phase of a blast results from impact of the over and under
pressurization wave with body surfaces. Injuries include blast lung,
tympanic membrane rupture, abdominal hemorrhage, globe rupture, and
mild traumatic brain injury? - ANSWER-Primary Phase
Signs of what include muscle pain or weakness, dark red or brown
urine, general weakness or malaise, and elevated creatinine kinase
levels? - ANSWER- Rhabdomyolosis
Signs of what include anxiety, pleuritic chest pain, dyspnea, hypoxemia,
hemoptysis, cough, orthopnea, adventitious lung sounds, decreased lung
sounds, jugular vein distention, or hypotension? - ANSWER-Pulmonary
Embolus
Signs of what include headache, nausea and vomiting, amnesia,
behavioral changes, altered level of consciousness? - ANSWER-Increased
intracranial pressure
Signs of what include asymmetric pupillary reactivity, unilateral dilation,
widening pulse pressure, abnormal motor posturing, bradycardia, and
decreased respiratory effort? - ANSWER-Late signs of increased ICP with
Herniation Syndrome
What is caused by the tear of the bridging veins or middle
meningeal artery? - ANSWER-Subdural and Epidural Hematoma
Affect concentration, memory, sleep, mode, and libido. Causes headaches,
dizziness and nausea. - ANSWER-Postconcussive Syndrome/ Mild
Traumatic Brain Injury
Signs and symptoms similar to early signs of increased ICP but do not
worsen. - ANSWER-Postconcussive Syndrome/ Mild Traumatic Brain
Injury
Cerebral Perfusion Pressure =------------------ANSWER-MAP -
What is the range for CO2 to maximize perfusion? - ANSWER-35-45
Does hypoventilation cause dilation or constriction? Increase or
decrease ICP? - ANSWER-Dilation and increase in ICP due to high CO2
Hyperventilation cause dilation or constriction? - ANSWER-Constriction d/t low
CO2
Pupils with pressure on cranial nerve - ANSWER-Fixed and dilated
Pupils with opiates vs stimulants - ANSWER-small; large
Answers 2024
What is the best measure of the adequacy of cellular perfusion and helps
predict the outcome of resuscitation? - ANSWER-Base deficit used in
conjunction with serum lactate
Will hypocapnia cause vasoconstriction or vasodilation, especially in the
cerebral vasculature? - ANSWER-Vasoconstriction
What results from tissue hypo perfusion and oxygen deficit? - ANSWER-
Metabolic acidosis
What type of shock results in generalized vasodilation? - ANSWER-Neurogenic
shock
Spinal cord injuries at C3-C5 causes loss of what nerves function, resulting
in what? - ANSWER-Phrenic nerve; paralyzed diaphragm and inability to
breath
Extremity elevation AT the level of the heart is beneficial for what type
of injury? - ANSWER-Compartment Syndrome
What is a high risk of frostbite? - ANSWER-Thrombus formation
What two medications can be administered to maintain perfusion after a
frostbite injury along with rewarming? - ANSWER-Tissue plasminogen
activator or non steroidal anti- inflammatory medication (NSAIDS)
An rise in diastolic blood pressures is a sign of increasing what? - ANSWER-
Peripheral resistance
What position will benefit the airway and work of breathing for the
bariatric patient? - ANSWER-Reverse Trendelenburg
Which phase of a blast results from flying debris, projectiles, and bomb
fragments causing lacerations or penetrating injuries? - ANSWER-
Secondary Phase
What phase of a blast results from any explosion-related illness or
injury including hyperglycemia, hypertension, angina, asthma, COPD,
or sepsis? - ANSWER- Quaternary Phase
What phase of a blast results from individuals being thrown by the blast and
impacting walls, ground, or any hard object? - ANSWER-Tertiary Phase
, What phase of a blast results from impact of the over and under
pressurization wave with body surfaces. Injuries include blast lung,
tympanic membrane rupture, abdominal hemorrhage, globe rupture, and
mild traumatic brain injury? - ANSWER-Primary Phase
Signs of what include muscle pain or weakness, dark red or brown
urine, general weakness or malaise, and elevated creatinine kinase
levels? - ANSWER- Rhabdomyolosis
Signs of what include anxiety, pleuritic chest pain, dyspnea, hypoxemia,
hemoptysis, cough, orthopnea, adventitious lung sounds, decreased lung
sounds, jugular vein distention, or hypotension? - ANSWER-Pulmonary
Embolus
Signs of what include headache, nausea and vomiting, amnesia,
behavioral changes, altered level of consciousness? - ANSWER-Increased
intracranial pressure
Signs of what include asymmetric pupillary reactivity, unilateral dilation,
widening pulse pressure, abnormal motor posturing, bradycardia, and
decreased respiratory effort? - ANSWER-Late signs of increased ICP with
Herniation Syndrome
What is caused by the tear of the bridging veins or middle
meningeal artery? - ANSWER-Subdural and Epidural Hematoma
Affect concentration, memory, sleep, mode, and libido. Causes headaches,
dizziness and nausea. - ANSWER-Postconcussive Syndrome/ Mild
Traumatic Brain Injury
Signs and symptoms similar to early signs of increased ICP but do not
worsen. - ANSWER-Postconcussive Syndrome/ Mild Traumatic Brain
Injury
Cerebral Perfusion Pressure =------------------ANSWER-MAP -
What is the range for CO2 to maximize perfusion? - ANSWER-35-45
Does hypoventilation cause dilation or constriction? Increase or
decrease ICP? - ANSWER-Dilation and increase in ICP due to high CO2
Hyperventilation cause dilation or constriction? - ANSWER-Constriction d/t low
CO2
Pupils with pressure on cranial nerve - ANSWER-Fixed and dilated
Pupils with opiates vs stimulants - ANSWER-small; large
