SSM TCAR review exam with verified 100% corre
g g g g g g gg
ct answers 2024/2025
g g
1. Whatgaregthegdefinitivegoptionsgforgpelvicgfracturegstabilizationgandg
hemor-grhagegcontrol?:gAnswer:gExternalgFixation
InterventionalgRadiology
Opengreductiong&gInternalgfixation
2. Howgaregclosedgmid-
shaftgfemurgfracturesgmanaged?:gAnswer:gIntramedullarygnailgfix
ation
3. Whatgmakesgagfracturegcomminuted?:gAnswer:gThegbonegisgingmultipleg
pieces
4. Physiologicgcriteriagforgtraumagcentergcare?:g
Answer:gSBP<90gRespgrateg<10gorg>29gGC
Sg<14
5. WhatgisgKinematics?:gAnswer:gThegprocessgofgpredictinggpotentialg
injuriesgbasedgonganalysisgofgthegforcesginvolved
6. Dosegofgenergygis?:gAnswer:gThegnaturegandgamountgofgforce
7. Characteristicgofgwoundinggagent?:gAnswer:gTypegofgenergygandghowgitgwasg
applied
8. Force:gAnswer:gThegdosegofgenergyginvolved
9. Whichggendergisgthegmajoritygofgtrauma?:gAnswer:gMale
10. Incidencegofgtraumagpeaksgatgwhatgage?:gAnswer:gTeensgandgyounggadult
11. BluntgtraumagClassifications
1g/g36
, include?:gAnswer:gMVAgAutogvs.gpedestria
n
Falls
Struckgbygorgagainstgangobject
12. Traumagmortalitygbasedgongorgangsystemgfailure?:gAnswer:g1gorgang
systemgfail-gure=4%
2 organgsystemgfailures=32%
3 organgsystemgfailures=67%
4 organgsystemgfailures=90%
13. Whatgaregthegfourgcollisions?:gAnswer:g1.gThegvehicle
2. Thegoccupants
3. Theginternalgorgans
4. Thegsecondarygimpacts
14. Energygtransmissiongingagrollovergdependsgon?:gAnswer:gDecelerationgdi
stancegEnergygisgdissipatedgovergthegdistancegofgthegrollgandgwhethergorgnotgth
egoccupantsgaregrestrained
15. Cargvsgpedestrianginjuriesgdependgon?:gAnswer:gPointgofgcontactg
withgthegcaregHeightgofghoodg&gbumper
Sizeg&gweightgof
gvehiclegHeightg
ofgpatient
Directiongpatientgwasgfacinggwhengstruck
16. Whatgisgthegmostgcommongmechanismgofginjurygingallgageggroups?:gAnswer:
2g/g36
,Falls
17. Factorsgpredictinggfallginjuriesgare?:gAnswer:gFallg
heightg(velocity)gLandinggsurfaceg(decelerationgdista
nce)
Pointgofgimpactgongthegbody
18. Woundgballistics-
gpermanentgcavity:gAnswer:gCavitygisgthegagfunctiongofgthegsize,gshape,gandgc
haracteristicgofgthegmissileg(mass)
19. Forgeverygsecondgofgfallgtime,gspeedgincreasesgby?:gAnswer:gSpeedg
increasesgbygapproximatelyg20gMPH
20. DefinegShock?:gAnswer:gAgstategingwhichgcellulargoxygengdemandg
exceedsgsupplygWhengthegcostgofgtissuegoxygengisghighergthangthegbodyg
cangpay,gangoxygengdebtgdevelops.
21. TypesgofgshockgpergTCAR?:gAnswer:gPumps-
gSitegofgdefectgheartgPipes-
gsitegofgdefectgisgartery,gveinsgorgcapillaries
Fluid-intravascular,ginterstitialgorgintracellular
22. VSgingshock?:gAnswer:
NarrowgpulsegpressuregTachy
cardia
LowgCO
23. HowgmanygATPgmoleculesgaregproducedgwithgoxygeng&gglucose?:gg
Answer:g32gATPgmolecules
24. HowgmanygATPgmoleculesgaregproducedgwithoutgoxygen?:gAnswer:g2gATP
3g/g36
, molecules
25. NormalgpH?:gAnswer:gReferncegrangegisg7.35-
7.45,gbutgactualgnormalgrangegisg7.38-7.42
26. Whatgisgthegfootprintgofgshock?:gAnswer:gLacticgAcidosis
27. Whatg2gthingsgaffectgthegamountgofgoxygengavailalbegtogthegcells?:ggA
nswer:gTemper-
atureg&gpH,gwhichgisgthegoxyhemoglobingdissociationgcurve
g
28. Oxyhemoglobingdissociationgshiftgtogthegright?:gAnswer:gAcidosis,g
elevatedgtempgMoregoxygengavailablegtogthegcells
29. Oxyhemoglobingdissociationgcurvegshiftgtogthegleft?:gAnswer:g
Hypothermia,galkalosisgLessgoxygengavailablegtogthegcells
30. Hg&gHgisgagmeasuregofg?:gAnswer:gItgisgagmeasuregofghemodilutiongrathergt
hangbloodgloss.
31. Whatgaregtheghormonalgresponsesgtogshock?:gAnswer:gPromotegbodygwaterg
retentionsgbygsecretiongofgADHg&gactivationgofgRAAS
32. Whatgaregtheginflammatorygresponsesgtogshock?:gAnswer:gSIRS
Whichgisgagproductiongofgpro-
inflammatorygmediators,ghistaminegrelease,gandgcapil-glarygleakage
33. Inadvertentgesophagealgintubationgassessmentgfindingsginclude?:gg
Answer:gGastricgdistention,
absentgbreathgsounds,gminima
lgchestgwallgmovementgandgra
pid
4g/g36
g g g g g g gg
ct answers 2024/2025
g g
1. Whatgaregthegdefinitivegoptionsgforgpelvicgfracturegstabilizationgandg
hemor-grhagegcontrol?:gAnswer:gExternalgFixation
InterventionalgRadiology
Opengreductiong&gInternalgfixation
2. Howgaregclosedgmid-
shaftgfemurgfracturesgmanaged?:gAnswer:gIntramedullarygnailgfix
ation
3. Whatgmakesgagfracturegcomminuted?:gAnswer:gThegbonegisgingmultipleg
pieces
4. Physiologicgcriteriagforgtraumagcentergcare?:g
Answer:gSBP<90gRespgrateg<10gorg>29gGC
Sg<14
5. WhatgisgKinematics?:gAnswer:gThegprocessgofgpredictinggpotentialg
injuriesgbasedgonganalysisgofgthegforcesginvolved
6. Dosegofgenergygis?:gAnswer:gThegnaturegandgamountgofgforce
7. Characteristicgofgwoundinggagent?:gAnswer:gTypegofgenergygandghowgitgwasg
applied
8. Force:gAnswer:gThegdosegofgenergyginvolved
9. Whichggendergisgthegmajoritygofgtrauma?:gAnswer:gMale
10. Incidencegofgtraumagpeaksgatgwhatgage?:gAnswer:gTeensgandgyounggadult
11. BluntgtraumagClassifications
1g/g36
, include?:gAnswer:gMVAgAutogvs.gpedestria
n
Falls
Struckgbygorgagainstgangobject
12. Traumagmortalitygbasedgongorgangsystemgfailure?:gAnswer:g1gorgang
systemgfail-gure=4%
2 organgsystemgfailures=32%
3 organgsystemgfailures=67%
4 organgsystemgfailures=90%
13. Whatgaregthegfourgcollisions?:gAnswer:g1.gThegvehicle
2. Thegoccupants
3. Theginternalgorgans
4. Thegsecondarygimpacts
14. Energygtransmissiongingagrollovergdependsgon?:gAnswer:gDecelerationgdi
stancegEnergygisgdissipatedgovergthegdistancegofgthegrollgandgwhethergorgnotgth
egoccupantsgaregrestrained
15. Cargvsgpedestrianginjuriesgdependgon?:gAnswer:gPointgofgcontactg
withgthegcaregHeightgofghoodg&gbumper
Sizeg&gweightgof
gvehiclegHeightg
ofgpatient
Directiongpatientgwasgfacinggwhengstruck
16. Whatgisgthegmostgcommongmechanismgofginjurygingallgageggroups?:gAnswer:
2g/g36
,Falls
17. Factorsgpredictinggfallginjuriesgare?:gAnswer:gFallg
heightg(velocity)gLandinggsurfaceg(decelerationgdista
nce)
Pointgofgimpactgongthegbody
18. Woundgballistics-
gpermanentgcavity:gAnswer:gCavitygisgthegagfunctiongofgthegsize,gshape,gandgc
haracteristicgofgthegmissileg(mass)
19. Forgeverygsecondgofgfallgtime,gspeedgincreasesgby?:gAnswer:gSpeedg
increasesgbygapproximatelyg20gMPH
20. DefinegShock?:gAnswer:gAgstategingwhichgcellulargoxygengdemandg
exceedsgsupplygWhengthegcostgofgtissuegoxygengisghighergthangthegbodyg
cangpay,gangoxygengdebtgdevelops.
21. TypesgofgshockgpergTCAR?:gAnswer:gPumps-
gSitegofgdefectgheartgPipes-
gsitegofgdefectgisgartery,gveinsgorgcapillaries
Fluid-intravascular,ginterstitialgorgintracellular
22. VSgingshock?:gAnswer:
NarrowgpulsegpressuregTachy
cardia
LowgCO
23. HowgmanygATPgmoleculesgaregproducedgwithgoxygeng&gglucose?:gg
Answer:g32gATPgmolecules
24. HowgmanygATPgmoleculesgaregproducedgwithoutgoxygen?:gAnswer:g2gATP
3g/g36
, molecules
25. NormalgpH?:gAnswer:gReferncegrangegisg7.35-
7.45,gbutgactualgnormalgrangegisg7.38-7.42
26. Whatgisgthegfootprintgofgshock?:gAnswer:gLacticgAcidosis
27. Whatg2gthingsgaffectgthegamountgofgoxygengavailalbegtogthegcells?:ggA
nswer:gTemper-
atureg&gpH,gwhichgisgthegoxyhemoglobingdissociationgcurve
g
28. Oxyhemoglobingdissociationgshiftgtogthegright?:gAnswer:gAcidosis,g
elevatedgtempgMoregoxygengavailablegtogthegcells
29. Oxyhemoglobingdissociationgcurvegshiftgtogthegleft?:gAnswer:g
Hypothermia,galkalosisgLessgoxygengavailablegtogthegcells
30. Hg&gHgisgagmeasuregofg?:gAnswer:gItgisgagmeasuregofghemodilutiongrathergt
hangbloodgloss.
31. Whatgaregtheghormonalgresponsesgtogshock?:gAnswer:gPromotegbodygwaterg
retentionsgbygsecretiongofgADHg&gactivationgofgRAAS
32. Whatgaregtheginflammatorygresponsesgtogshock?:gAnswer:gSIRS
Whichgisgagproductiongofgpro-
inflammatorygmediators,ghistaminegrelease,gandgcapil-glarygleakage
33. Inadvertentgesophagealgintubationgassessmentgfindingsginclude?:gg
Answer:gGastricgdistention,
absentgbreathgsounds,gminima
lgchestgwallgmovementgandgra
pid
4g/g36
