TCAR REAL EXAM WITH ALL ANSWERS
3 cdquestions cdto cdask cdin cdtrauma cd- cd cdcorrect cdanswer- cd-what cdwas cdthe cddose
cdof cdenergy?
-where cddid cdit cdgo?
-what cdinjuries cdare cdlikely?
2 cdq's cdto cdask cdin cdGSW cd- cd cdcorrect cdanswer- cdcaliber
type cdof cdgun
# cdof cdentrance/exit cdwounds
high/low cdvelocity
1st cdquestion cdto cdask cdin cdany cdtraumatic cdinjury? cd- cd cdcorrect cdanswer- cdwhat
cdwas cdthe cddose cdof cdenergy cdinvolved?
(was cdit cdhigh cdor cdlow?)
what cdis cdthe cdcaliber cdof cda cdbullet? cd- cd cdcorrect cdanswer- cddiameter
aka cddiameter cdof cda cdbullet cd- cd cdcorrect cdanswer- cdcaliber
what cdhappens cdto cdprojectiles cdwhen cdthey cdenter cdthe cdbody cd- cd cdcorrect
cdanswer- cdprojectiles cddon't cdtravel cdin cda cdstraight cdline
consider cdtemporary cdcavity cdwound
,what cdshould cdyou cdconsider cdabout cdtissue cda cdprojectile cdenounters cd- cd cdcorrect
cdanswer- cdtemporary cdcavitation
primary cdgoal cdof cdGSW cdsurgery cd- cd cdcorrect cdanswer- cdusually cddamage cdrepair
cd& cdnot cdbullet cdremoval
-if cdsuperficial, cdit cdmay cdmigrate cdthe cdsurface cdwith cdtime
important cdthing cdto cdremember cdabout cdretained cdprojectiles cd- cd cdcorrect cdanswer-
cdthey cdmay cdmigrate cdover cdtime. cdbullett cdmigration cdmight cdexplain cdunexplained
cdclinical cdfindings cd
(VP cdCheney cdaccidentally cdshot cdhis cdfriend cdwhile cdhunting cdin cd2006. cdICU cdand
cddid cdgreat. cdmoved cdto cdan cdinpatient cdunit. cdhad cda cdsilent cdMI cdbc cda cdshot cdgun
cdpellets cdmigrated cdinto cda cdcanary cdartery cdcausing cdan cdinfract. cdso cdhad cda cdMI
cdbut cdfibrinolytic cdnot cdthe cdanswer cdin cdthis cdcase cdb/c cdit cdwas cda cd"projectile
cdembolus"
aka cdbrestbone cd- cd cdcorrect cdanswer- cdsternum
what cdattaches cdthe cdribs cdto cdthe cdsternum cd- cd cdcorrect cdanswer- cdcartliage
what cdbreaks cdthoracic cdbones cd- cd cdcorrect cdanswer- cdsignificant cdforce
-1-2nd cdribs, cdposterior cdribs, cdsternum, cdscapulae, cdT2-10
gives cdus cdinfo cdabout cdthe cdforce cdaka cd"dose" cdof cdenergy cdreceived
consider cdinjury cdto cdinternal cdstructures cdb/c cdforce
ribs cdthat cdare cdthe cdmost cdfrequently cdbroken cd- cd cdcorrect cdanswer- cdribs cd4-9 cdb/c
cdlong, cdthin, cdand cdpoorly cdprotecte
it cdis cdharder cdto cdbreak cda cdshort cdpencil cd(T1-2) cdand cdeasier cdto cdbreak cda
cdlonger cdone
*ask cdhow cdmany cdand cdwhere cdto cdunderstand cdthe cdforce cdinvolved
what cdis cdthe cdsignificance cdof cdposterior cdrib cdfractures cd- cd cdcorrect cdanswer-
cdunusual cddirection cdof cdinjury
shorter cdstubby cdribs
good cdmuscle cdprofection
**posterior cdrib cdfractures cdhave cda cdlot cdof cdforce cdso cdneed cda cdhigh cddose.
***PRF cdneed cda cdlot cdof cdforce cdso cdhigh cddose cdof cdenergy. cdbig cdred cdflag cdfor cdt-
spine cdinjury
indication cdof cdc-spine cdinjury cd- cd cdcorrect cdanswer- cdto cdinjure cdc-spine, cdyou cddon't
cdneed cda cdbig cdenergy cdblow. cdall cdit cdtakes cdis cdshaking cdaround.
c cdspine cdversus cdt cdspine cdfractures cd- cd cdcorrect cdanswer- cdc-spine cddoesn't cdneed
cda cdbig cdenergy cdblow. cdjust cdsome cdshaking cdaround cd
,t-spine cdneeds cda cdgreat cdstrong cddirect cdblow cd(not cdjust cda cdshock_
treatment cdfor cdrib cdfractures cd- cd cdcorrect cdanswer- cdlargely cdsupportive cdnursing
cdcare cdlike cdpulmonary cdtoilet
CXR cdand cdrib cdfractures cd- cd cdcorrect cdanswer- cdsimple cdrib cdfractures cdare cddifficult
cdto cdsee cdon cdCXR cdand cdcan cdbe cdcommonly cdmissed
(1/2 cdof cdall cdrib cdfractures cdaren't cdidentified cdat cdthe cdPOI cdCXR)
identify cda cdprevious cdrib cdfracture cdon cdCXR cd- cd cdcorrect cdanswer- cdonce cdhealed,
cdrib cdfractures cdform cdbony cdcallouses cdand cdbecome cdmore cdvisible cdon cdCXR
how cdto cdtell cda cdpt cdhas cda cdpneumonia cdfrom cda cdCXR cd- cd cdcorrect cdanswer-
cddark cdspot cdthat cdis cdnot cdequal cdto cdthe cdopposite cdside
consider cdif cda cdpt cdhas cda cdlower cdrib cdfracture cd- cd cdcorrect cdanswer- cdliver cd&
cdspleen cdinjury
acts cdlike cdBBQ/marshmellow cdskewers
how cdhigh cddoes cdthe cddiaphragm cdrise cdon cdinspiration cd- cd cdcorrect cdanswer- cdlevel
cdof cd4th cdICS
risk cdof cdrib cdfractures cd- cd cdcorrect cdanswer- cdcan cdpuncture cdliver, cdspleen,,
cddiaphragm
pop cdlungs
+2 cdadjacent cdrib cdfractures cd- cd cdcorrect cdanswer- cdflail cdchest
free cdfloating cdsternum cd- cd cdcorrect cdanswer- cdflail cdchest
definition cdof cdflail cdchest cd- cd cdcorrect cdanswer- cd+2 cdadjacent cdrib cdfracture
free cdfloating cdsternum
why cdis cdflail cdchest cda cdproblem cd- cd cdcorrect cdanswer- cdb/c cdbreathing cdis cda
cdmechanical cdprocess
paradoxical cdchest cdmovements cd- cd cdcorrect cdanswer- cdin cdflail cdchest
s/s cdof cdflail cdchest cd- cd cdcorrect cdanswer- cdparadoxical cdchest cdwall cdmovement
where cdon cdthe cdtissue cdoxygenation cdcascade cdis cdthoracic cdcage cdfractures cda
cdproblem cd- cd cdcorrect cdanswer- cdventilation
parameters cdto cdassess cdventilation cd- cd cdcorrect cdanswer- cdETCO2, cdPaCO2,
cdclinical cdassessment
, what cdare cdconsidered cd"great cdvessels" cd- cd cdcorrect cdanswer- cd
thorax cd- cd cdcorrect cdanswer- cd
what cdtype cdof cdinjuries cdoccur cdwhen cdthe cdlungs cdare cdsubjected cdto cdforce? cd- cd
cdcorrect cdanswer- cdbruise cd= cdcontusion
tear cd= cdlacerations
pop cd= cdpunctures
inhalation cdinjury
bruise cdon cdthe cdlungs cd- cd cdcorrect cdanswer- cdpulmonary cdcontusion
causes cdof cdpulmonary cdcontusions cd- cd cdcorrect cdanswer- cdhigh cdspeed cdblunt cdor
cdpenetrating cdinjury
what cdhappens cdto cdthe cdlungs cdin cdpulmonary cdcontusions cd- cd cdcorrect cdanswer-
cdbig cdboggy cdbruise cdon cdthe cdlungs
diffusion cdproblems
when cdit cdbecomes cdcontused cd& cdedematous, cdit cdbecomes cddifficult cdfor cdoxygen
cdto cdmove cdfrom cdthe cdalveoli cdinto cdthe cdcapillaries
where cdon cdthe cdtissue cdoxygenation cdcascade cddo cdpulmonary cdcontusions cdcause
cdtheir cdproblems cd- cd cdcorrect cdanswer- cddiffusion
all cdcontusions cdover cdtime cd- cd cdcorrect cdanswer- cdall cdcontusions cd"blossom" cdover
cdtime. cdthe cdfull cdextent cdof cdthe cdinjury cdis cdnot cdinitially cdapparent
important cdthing cdto cdremember cdwhen cdyou cdare cdevaluating cda cdpatient cdfor
cdpulmonary cdcontusions cd- cd cdcorrect cdanswer- cd70% cdof cdpulmonary cdcontusions
cdaren't cdinitial cdon cdthe cdinitial cdCXR
what cdshould cdyou cdmonitor cdwhen cda cdpt cdhas cdtrauma cdto cdthe cdthroax cd- cd
cdcorrect cdanswer- cdclosely cdmonitor cdfor cdpulmonary cdcontustiobs cd= cd70% cdnot
cdpresent cdon cdthe cdinitial cdCXR cdand cd"blossom" cdover cdtime
-monitor cdfor cdprogress cde cddeterioration cdin cdhours/days cdpost cdinjury
*might cdlook cdok cdin cdER
best cdparameter cdof cdserial cdmonitoring cdfor cdpt's cdwho cdhave cdrisk cdfactors cdfor
cdpulmonary cdcontusions cd- cd cdcorrect cdanswer- cdanticipate cd"blossoming" cdover
cdtime cdb/c cd70% cdof cdpulmonary cdcontusions cdaren't cdpresent cdon cdthe cdinitial cdCXR
P:F cdratio
problem cdof cdusing cdCXR cdas cda cddefinitive cdclinical cddx cdtool cd- cd cdcorrect cdanswer-
cdCXR cdmay cdlag cdbehind cdclinical cdstatus
*b/c cd70% cdof cdpulmonary cdcontusions cdaren't cdpresent cdon cdinitial cdCXR. cdthey
cd"blossom" cdover cdtime
3 cdquestions cdto cdask cdin cdtrauma cd- cd cdcorrect cdanswer- cd-what cdwas cdthe cddose
cdof cdenergy?
-where cddid cdit cdgo?
-what cdinjuries cdare cdlikely?
2 cdq's cdto cdask cdin cdGSW cd- cd cdcorrect cdanswer- cdcaliber
type cdof cdgun
# cdof cdentrance/exit cdwounds
high/low cdvelocity
1st cdquestion cdto cdask cdin cdany cdtraumatic cdinjury? cd- cd cdcorrect cdanswer- cdwhat
cdwas cdthe cddose cdof cdenergy cdinvolved?
(was cdit cdhigh cdor cdlow?)
what cdis cdthe cdcaliber cdof cda cdbullet? cd- cd cdcorrect cdanswer- cddiameter
aka cddiameter cdof cda cdbullet cd- cd cdcorrect cdanswer- cdcaliber
what cdhappens cdto cdprojectiles cdwhen cdthey cdenter cdthe cdbody cd- cd cdcorrect
cdanswer- cdprojectiles cddon't cdtravel cdin cda cdstraight cdline
consider cdtemporary cdcavity cdwound
,what cdshould cdyou cdconsider cdabout cdtissue cda cdprojectile cdenounters cd- cd cdcorrect
cdanswer- cdtemporary cdcavitation
primary cdgoal cdof cdGSW cdsurgery cd- cd cdcorrect cdanswer- cdusually cddamage cdrepair
cd& cdnot cdbullet cdremoval
-if cdsuperficial, cdit cdmay cdmigrate cdthe cdsurface cdwith cdtime
important cdthing cdto cdremember cdabout cdretained cdprojectiles cd- cd cdcorrect cdanswer-
cdthey cdmay cdmigrate cdover cdtime. cdbullett cdmigration cdmight cdexplain cdunexplained
cdclinical cdfindings cd
(VP cdCheney cdaccidentally cdshot cdhis cdfriend cdwhile cdhunting cdin cd2006. cdICU cdand
cddid cdgreat. cdmoved cdto cdan cdinpatient cdunit. cdhad cda cdsilent cdMI cdbc cda cdshot cdgun
cdpellets cdmigrated cdinto cda cdcanary cdartery cdcausing cdan cdinfract. cdso cdhad cda cdMI
cdbut cdfibrinolytic cdnot cdthe cdanswer cdin cdthis cdcase cdb/c cdit cdwas cda cd"projectile
cdembolus"
aka cdbrestbone cd- cd cdcorrect cdanswer- cdsternum
what cdattaches cdthe cdribs cdto cdthe cdsternum cd- cd cdcorrect cdanswer- cdcartliage
what cdbreaks cdthoracic cdbones cd- cd cdcorrect cdanswer- cdsignificant cdforce
-1-2nd cdribs, cdposterior cdribs, cdsternum, cdscapulae, cdT2-10
gives cdus cdinfo cdabout cdthe cdforce cdaka cd"dose" cdof cdenergy cdreceived
consider cdinjury cdto cdinternal cdstructures cdb/c cdforce
ribs cdthat cdare cdthe cdmost cdfrequently cdbroken cd- cd cdcorrect cdanswer- cdribs cd4-9 cdb/c
cdlong, cdthin, cdand cdpoorly cdprotecte
it cdis cdharder cdto cdbreak cda cdshort cdpencil cd(T1-2) cdand cdeasier cdto cdbreak cda
cdlonger cdone
*ask cdhow cdmany cdand cdwhere cdto cdunderstand cdthe cdforce cdinvolved
what cdis cdthe cdsignificance cdof cdposterior cdrib cdfractures cd- cd cdcorrect cdanswer-
cdunusual cddirection cdof cdinjury
shorter cdstubby cdribs
good cdmuscle cdprofection
**posterior cdrib cdfractures cdhave cda cdlot cdof cdforce cdso cdneed cda cdhigh cddose.
***PRF cdneed cda cdlot cdof cdforce cdso cdhigh cddose cdof cdenergy. cdbig cdred cdflag cdfor cdt-
spine cdinjury
indication cdof cdc-spine cdinjury cd- cd cdcorrect cdanswer- cdto cdinjure cdc-spine, cdyou cddon't
cdneed cda cdbig cdenergy cdblow. cdall cdit cdtakes cdis cdshaking cdaround.
c cdspine cdversus cdt cdspine cdfractures cd- cd cdcorrect cdanswer- cdc-spine cddoesn't cdneed
cda cdbig cdenergy cdblow. cdjust cdsome cdshaking cdaround cd
,t-spine cdneeds cda cdgreat cdstrong cddirect cdblow cd(not cdjust cda cdshock_
treatment cdfor cdrib cdfractures cd- cd cdcorrect cdanswer- cdlargely cdsupportive cdnursing
cdcare cdlike cdpulmonary cdtoilet
CXR cdand cdrib cdfractures cd- cd cdcorrect cdanswer- cdsimple cdrib cdfractures cdare cddifficult
cdto cdsee cdon cdCXR cdand cdcan cdbe cdcommonly cdmissed
(1/2 cdof cdall cdrib cdfractures cdaren't cdidentified cdat cdthe cdPOI cdCXR)
identify cda cdprevious cdrib cdfracture cdon cdCXR cd- cd cdcorrect cdanswer- cdonce cdhealed,
cdrib cdfractures cdform cdbony cdcallouses cdand cdbecome cdmore cdvisible cdon cdCXR
how cdto cdtell cda cdpt cdhas cda cdpneumonia cdfrom cda cdCXR cd- cd cdcorrect cdanswer-
cddark cdspot cdthat cdis cdnot cdequal cdto cdthe cdopposite cdside
consider cdif cda cdpt cdhas cda cdlower cdrib cdfracture cd- cd cdcorrect cdanswer- cdliver cd&
cdspleen cdinjury
acts cdlike cdBBQ/marshmellow cdskewers
how cdhigh cddoes cdthe cddiaphragm cdrise cdon cdinspiration cd- cd cdcorrect cdanswer- cdlevel
cdof cd4th cdICS
risk cdof cdrib cdfractures cd- cd cdcorrect cdanswer- cdcan cdpuncture cdliver, cdspleen,,
cddiaphragm
pop cdlungs
+2 cdadjacent cdrib cdfractures cd- cd cdcorrect cdanswer- cdflail cdchest
free cdfloating cdsternum cd- cd cdcorrect cdanswer- cdflail cdchest
definition cdof cdflail cdchest cd- cd cdcorrect cdanswer- cd+2 cdadjacent cdrib cdfracture
free cdfloating cdsternum
why cdis cdflail cdchest cda cdproblem cd- cd cdcorrect cdanswer- cdb/c cdbreathing cdis cda
cdmechanical cdprocess
paradoxical cdchest cdmovements cd- cd cdcorrect cdanswer- cdin cdflail cdchest
s/s cdof cdflail cdchest cd- cd cdcorrect cdanswer- cdparadoxical cdchest cdwall cdmovement
where cdon cdthe cdtissue cdoxygenation cdcascade cdis cdthoracic cdcage cdfractures cda
cdproblem cd- cd cdcorrect cdanswer- cdventilation
parameters cdto cdassess cdventilation cd- cd cdcorrect cdanswer- cdETCO2, cdPaCO2,
cdclinical cdassessment
, what cdare cdconsidered cd"great cdvessels" cd- cd cdcorrect cdanswer- cd
thorax cd- cd cdcorrect cdanswer- cd
what cdtype cdof cdinjuries cdoccur cdwhen cdthe cdlungs cdare cdsubjected cdto cdforce? cd- cd
cdcorrect cdanswer- cdbruise cd= cdcontusion
tear cd= cdlacerations
pop cd= cdpunctures
inhalation cdinjury
bruise cdon cdthe cdlungs cd- cd cdcorrect cdanswer- cdpulmonary cdcontusion
causes cdof cdpulmonary cdcontusions cd- cd cdcorrect cdanswer- cdhigh cdspeed cdblunt cdor
cdpenetrating cdinjury
what cdhappens cdto cdthe cdlungs cdin cdpulmonary cdcontusions cd- cd cdcorrect cdanswer-
cdbig cdboggy cdbruise cdon cdthe cdlungs
diffusion cdproblems
when cdit cdbecomes cdcontused cd& cdedematous, cdit cdbecomes cddifficult cdfor cdoxygen
cdto cdmove cdfrom cdthe cdalveoli cdinto cdthe cdcapillaries
where cdon cdthe cdtissue cdoxygenation cdcascade cddo cdpulmonary cdcontusions cdcause
cdtheir cdproblems cd- cd cdcorrect cdanswer- cddiffusion
all cdcontusions cdover cdtime cd- cd cdcorrect cdanswer- cdall cdcontusions cd"blossom" cdover
cdtime. cdthe cdfull cdextent cdof cdthe cdinjury cdis cdnot cdinitially cdapparent
important cdthing cdto cdremember cdwhen cdyou cdare cdevaluating cda cdpatient cdfor
cdpulmonary cdcontusions cd- cd cdcorrect cdanswer- cd70% cdof cdpulmonary cdcontusions
cdaren't cdinitial cdon cdthe cdinitial cdCXR
what cdshould cdyou cdmonitor cdwhen cda cdpt cdhas cdtrauma cdto cdthe cdthroax cd- cd
cdcorrect cdanswer- cdclosely cdmonitor cdfor cdpulmonary cdcontustiobs cd= cd70% cdnot
cdpresent cdon cdthe cdinitial cdCXR cdand cd"blossom" cdover cdtime
-monitor cdfor cdprogress cde cddeterioration cdin cdhours/days cdpost cdinjury
*might cdlook cdok cdin cdER
best cdparameter cdof cdserial cdmonitoring cdfor cdpt's cdwho cdhave cdrisk cdfactors cdfor
cdpulmonary cdcontusions cd- cd cdcorrect cdanswer- cdanticipate cd"blossoming" cdover
cdtime cdb/c cd70% cdof cdpulmonary cdcontusions cdaren't cdpresent cdon cdthe cdinitial cdCXR
P:F cdratio
problem cdof cdusing cdCXR cdas cda cddefinitive cdclinical cddx cdtool cd- cd cdcorrect cdanswer-
cdCXR cdmay cdlag cdbehind cdclinical cdstatus
*b/c cd70% cdof cdpulmonary cdcontusions cdaren't cdpresent cdon cdinitial cdCXR. cdthey
cd"blossom" cdover cdtime
