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TCRN Exam Questions and Answers (Latest Update 2024)
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TCRN Exam Questions and Answers (Latest Update 2024)
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TCRN Exam Questions and Answers(Latest Update 2024)
Referred left shoulder pain, usually indicates a splenic injury -
Correct Answer ✅ Kehr's sign
Base deficit more than -6 indicates the need for agressive
resuscitation and determination of the etiology - Correct
Answer ✅ Base deficit
Most important tool providing useful information in the early
minutes. Can identify major sources of blood loss from
injuries in the chest or elevated diaphragm with displacement
of abdominal organs - Correct Answer ✅ CXR
Should be suspected if after chest tube placement a
significant air leak is present - Correct Answer ✅
Tracheobronchial injury
Alternative to FAST scan to detect abd bleeding. A urinary
catheter and gastric tube should be in place prior to
procedure. - Correct Answer ✅ Diagnostic Peritoneal
Lavage
,TCRN Exam Questions and Answers
(Latest Update 2024)
Focused Assessment with Sonography in Trauma. Used to
detect free fluid in peritoneum or hemoperitoneum. Free fluid
appears "black" on the screen. Has replaced DPL when
available. - Correct Answer ✅ FAST
Hemodynamically unstable trauma patient with a positive
fast are taken directly to the OR for laparotomy - Correct
Answer ✅ Positive FAST scan
Not useful to detect injuries to the diaphragm, intestine and
pancreas. In patients with obesity, ascites and/or subQ
emphysema the accuracy is reduced. - Correct Answer ✅
Ultrasound abd exam
Hemodynamically stable patients may be taken to CT -
Correct Answer ✅ CT scan
Embolization is useful in treating patient with unstable pelvic
fractures, liver and splenic hemorrhage. Use of hybrid OR
suites to allow for surgical and interventional radiology
methods of treatment simultaneously. - Correct Answer ✅
Angiography
, TCRN Exam Questions and Answers
(Latest Update 2024)
Can be used to detect or exclude finding so f
hemoperitoneum, organ injury, intestinal spillage or
peritoneal penetration. Most useful in evaluating possible
diaphragmatic injuries, espectially in penetrating
thoracoabdominal injuries on the left site - Correct Answer
✅ Diagnostic laparoscopy
Usually resultant of penetrating throacoabdominal injuries on
the left side, including 11-12 rib fractures on the left. -
Correct Answer ✅ Diaphragmatic injuries
Result from shearing forces in MVC or direct blows that crush
intestine between force and the vertebrae. Most commonly
intra-abd injury in penetrating trauma. Occurs often with
spinal injury. Pancreatic/solid organ injury are predictive of
increased risk for hollow viscus injury. Signs of peritonitis
develop. Any blow to the abd/penetrating injury to the lower
chest/abd should increase suspicion of injury - Correct
Answer ✅ Small intestine injuries
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