Exam (elaborations)
TNCC Written Exam For Your success 2023
TNCC Written Exam For Your success
2023
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TNCC Written Exam For Your success
2023
What is the best measure of the adequacy of cellular perfusion and helps predict the
outcome of resuscitation? - CORRECT ANSWER-Base deficit used in conjunction with
serum lactate
Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral
vasculature? - CORRECT ANSWER-Vasoconstriction
What results from tissue hypo perfusion and oxygen deficit? - CORRECT ANSWER-
Metabolic acidosis
What type of shock results in generalized vasodilation? - CORRECT ANSWER-
Neurogenic shock
Spinal cord injuries at C3-C5 causes loss of what nerves function, resulting in what? -
CORRECT ANSWER-Phrenic nerve; paralyzed diaphragm and inability to breath
Extremity elevation AT the level of the heart is beneficial for what type of injury? -
CORRECT ANSWER-Compartment Syndrome
What is a high risk of frostbite? - CORRECT ANSWER-Thrombus formation
What two medications can be administered to maintain perfusion after a frostbite injury
along with rewarming? - CORRECT ANSWER-Tissue plasminogen activator or non
steroidal anti-inflammatory medication (NSAIDS)
An rise in diastolic blood pressures is a sign of increasing what? - CORRECT
ANSWER-Peripheral resistance
What position will benefit the airway and work of breathing for the bariatric patient? -
CORRECT ANSWER-Reverse Trendelenburg
Which phase of a blast results from flying debris, projectiles, and bomb fragments
causing lacerations or penetrating injuries? - CORRECT ANSWER-Secondary Phase
What phase of a blast results from any explosion-related illness or injury including
hyperglycemia, hypertension, angina, asthma, COPD, or sepsis? - CORRECT
ANSWER-Quaternary Phase
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, What phase of a blast results from individuals being thrown by the blast and impacting
walls, ground, or any hard object? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER-Pulmonary Embolus
Signs of what include headache, nausea and vomiting, amnesia, behavioral changes,
altered level of consciousness? - CORRECT ANSWER-Increased intracranial pressure
Signs of what include asymmetric pupillary reactivity, unilateral dilation, widening pulse
pressure, abnormal motor posturing, bradycardia, and decreased respiratory effort? -
CORRECT ANSWER-Late signs of increased ICP with Herniation Syndrome
What is caused by the tear of the bridging veins or middle meningeal artery? -
CORRECT ANSWER-Subdural and Epidural Hematoma
Affect concentration, memory, sleep, mode, and libido. Causes headaches, dizziness
and nausea. - CORRECT ANSWER-Postconcussive Syndrome/ Mild Traumatic Brain
Injury
Signs and symptoms similar to early signs of increased ICP but do not worsen. -
CORRECT ANSWER-Postconcussive Syndrome/ Mild Traumatic Brain Injury
Cerebral Perfusion Pressure = ______-______ - CORRECT ANSWER-MAP - ICP
What is the range for CO2 to maximize perfusion? - CORRECT ANSWER-35-45
Does hypoventilation cause dilation or constriction? Increase or decrease ICP? -
CORRECT ANSWER-Dilation and increase in ICP due to high CO2
Hyperventilation cause dilation or constriction? - CORRECT ANSWER-Constriction d/t
low CO2
Pupils with pressure on cranial nerve - CORRECT ANSWER-Fixed and dilated
Pupils with opiates vs stimulants - CORRECT ANSWER-small; large
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