SSM TCAR review Latest Update -

SSM TCAR review Latest Update - Actual Exam 250 Questions and 100% Verified Correct Answers Guaranteed A+

A hemothorax presents a problem where in the cascade? - CORRECT ANSWER:

Ventilation and Hgb availability CT insertion at 4-5th ICS Blood loss is commonly the intercostal vessels

A massive PE symptoms? - CORRECT ANSWER: Sudden change in mental status

Neck vein distention Hemodynamic instability Low O2 sat

A simple pneumothorax presents a problems where in the cascade? - CORRECT

ANSWER: Ventilation

Deflated section of the lung is not participating in gas exchange An isolated PTX can be treated with a CT in the 2nd ICS

A tension pneuomothorax presents a problem where in the cascade? - CORRECT

ANSWER: Ventilation & CO

Pulsus paradoxus and unilateral breath sounds

Banked blood causes what electrolyte abnormalities? - CORRECT ANSWER: Elevated

K-released from old or damaged blood cells Decreased Ca-citrate in blood binds with calcium so the ionized Ca level is low

Blunt trauma Classifications include? - CORRECT ANSWER: MVA

Auto vs. pedestrian Falls Struck by or against an object

Car vs pedestrian injuries depend on? - CORRECT ANSWER: Point of contact with the care Height of hood & bumper Size & weight of vehicle Height of patient Direction patient was facing when struck

Care of an amputated part includes? - CORRECT ANSWER: Cleaning off any visible

dbris, sealing amputated part in a plastic bag, and placing the bag in an ice water solution

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Characteristic of wounding agent? - CORRECT ANSWER: Type of energy and how it

was applied

Define Shock? - CORRECT ANSWER: A state in which cellular oxygen demand

exceeds supply When the cost of tissue oxygen is higher than the body can pay, an oxygen debt develops.

Dose of energy is? - CORRECT ANSWER: The nature and amount of force

Energy transmission in a rollover depends on? - CORRECT ANSWER: Deceleration

distance Energy is dissipated over the distance of the roll and whether or not the occupants are restrained

Factors predicting fall injuries are? - CORRECT ANSWER: Fall height (velocity)

Landing surface (deceleration distance) Point of impact on the body

Fetal demise in trauma is most likely due to ? - CORRECT ANSWER: Placental

abruption

For every second of fall time, speed increases by? - CORRECT ANSWER: Speed

increases by approximately 20 MPH

Force - CORRECT ANSWER: The dose of energy involved

H & H is a measure of ? - CORRECT ANSWER: It is a measure of hemodilution rather than blood loss.

How are bowel injuires asessed? - CORRECT ANSWER: Signs of infection-fever

leukocytosis rebound tenderness Free air in the belly-Hollow viscous rupture

How are closed mid-shaft femur fractures managed? - CORRECT ANSWER:

Intramedullary nail fixation

How are hepatic lacerations managed? - CORRECT ANSWER: Need serial abdominal

exams, Hgb, liver enzyme levels, and coagulation studies

How are lateral compression fractures managed? - CORRECT ANSWER: Usally

required ORIF

How are open book pelvic fractures managed? - CORRECT ANSWER: May be

managed with external fixators 2 / 3

How can we keep trauma patients warm? - CORRECT ANSWER: Forced air warmers,

warm IV fluids, keep room very warm. Acidosis and coagulopathies will not corret unless we reverse hypothermia

How do you calculate expected PaO2? - CORRECT ANSWER: FIO2 x 5

If it's less than expected for a given FIO2, it is a diffusion problem

How is the bowel injured in blunt abdominal trauma? - CORRECT ANSWER: Hollow

structures pop dues to a direct blow or hyperflexion over a fixed object causing an increase in intrabdominal pressure

How is the pancreas injured in blunt trauma? - CORRECT ANSWER: Usually caused by direct compression of the organ against the rigid spine

How long do spleen injury patients have to avoid contact sports? - CORRECT

ANSWER: For up to 8 weeks

How many ATP molecules are produced with oxygen & glucose? - CORRECT

ANSWER: 32 ATP molecules

How many ATP molecules are produced without oxygen? - CORRECT ANSWER: 2

ATP molecules

How much blood can be put into the belly? - CORRECT ANSWER: All of it! 500-

6,000Ml or 4-5 L

How much hemorrhagic volume is associated with a femur fracture? - CORRECT

ANSWER: 500-3000 ml

How much hemorrhagic volume is associated with a humerus fracture? - CORRECT

ANSWER: 500-1500 ml

How much hemorrhagic volume is associated with a tibia/fibula fracture? - CORRECT

ANSWER: 250-1000ml

How much volume can a pelvic fracture lose? - CORRECT ANSWER: High risk of

hemorrhage, and lose 750-5000 ml of blood

In the abdominal truama patient, what suggests Abd. compartment syndrome? -

CORRECT ANSWER: Dropping urine output in a patient who has been aequately fluid

resuscitated.

In trauma patients, what is the most common cause and treatment of renal failure? - CORRECT ANSWER: Pre-renal failure is the case of "nothing in, nothing out". The problem is hypovolemia, treatment is fluids. Common shortly after injury.

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