TCAR EXAM MOST ASKED EXAM QUESTIONS!! |GUARANTEED ACCURATE ANSWERS
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Course
TCAR
Institution
TCAR
3 questions to ask in trauma - Accurate Answer-what was the dose of energy?
-where did it go?
-what injuries are likely?
2 q's to ask in GSW - Accurate Answercaliber
Type of gun
# of entrance/exit wounds
High/low velocity
1st question to ask in any traumatic injury? - Accurate Answerwhat...
TCAR EXAM 2024\2025
TCAR EXAM 2024\2025 MOST ASKED EXAM QUESTIONS!! |GUARANTEED
ACCURATE ANSWERS
3 questions to ask in trauma - Accurate Answer✅✅-what was the dose of energy?
-where did it go?
-what injuries are likely?
2 q's to ask in GSW - Accurate Answer✅✅caliber
Type of gun
# of entrance/exit wounds
High/low velocity
1st question to ask in any traumatic injury? - Accurate Answer✅✅what was the
dose of energy involved?
(was it high or low?)
,What is the caliber of a bullet? - Accurate Answer✅✅diameter
Aka diameter of a bullet - Accurate Answer✅✅caliber
What happens to projectiles when they enter the body - Accurate
Answer✅✅projectiles don't travel in a straight line
Consider temporary cavity wound
What should you consider about tissue a projectile enounters - Accurate
Answer✅✅temporary cavitation
Primary goal of GSW surgery - Accurate Answer✅✅usually damage repair & not
bullet removal
-if superficial, it may migrate the surface with time
Important thing to remember about retained projectiles - Accurate Answer✅✅they
may migrate over time. Bullett migration might explain unexplained clinical
findings
(VP Cheney accidentally shot his friend while hunting in 2006. ICU and did great.
Moved to an inpatient unit. Had a silent MI bc a shot gun pellets migrated into a
canary artery causing an infract. So had a MI but fibrinolytic not the answer in this
case b/c it was a "projectile embolus"
Aka brestbone - Accurate Answer✅✅sternum
What attaches the ribs to the sternum - Accurate Answer✅✅cartliage
What breaks thoracic bones - Accurate Answer✅✅significant force
,-1-2nd ribs, posterior ribs, sternum, scapulae, T2-10
Gives us info about the force aka "dose" of energy received
Consider injury to internal structures b/c force
Ribs that are the most frequently broken - Accurate Answer✅✅ribs 4-9 b/c long,
thin, and poorly protecte
It is harder to break a short pencil (T1-2) and easier to break a longer one
*ask how many and where to understand the force involved
What is the significance of posterior rib fractures - Accurate Answer✅✅unusual
direction of injury
Shorter stubby ribs
Good muscle profection
**posterior rib fractures have a lot of force so need a high dose.
***PRF need a lot of force so high dose of energy. Big red flag for t-spine injury
Indication of c-spine injury - Accurate Answer✅✅to injure c-spine, you don't
need a big energy blow. All it takes is shaking around.
C spine versus t spine fractures - Accurate Answer✅✅c-spine doesn't need a big
energy blow. Just some shaking around
T-spine needs a great strong direct blow (not just a shock_
Treatment for rib fractures - Accurate Answer✅✅largely supportive nursing care
like pulmonary toilet
, CXR and rib fractures - Accurate Answer✅✅simple rib fractures are difficult to
see on CXR and can be commonly missed
(1/2 of all rib fractures aren't identified at the POI CXR)
Identify a previous rib fracture on CXR - Accurate Answer✅✅once healed, rib
fractures form bony callouses and become more visible on CXR
How to tell a pt has a pneumonia from a CXR - Accurate Answer✅✅dark spot
that is not equal to the opposite side
Consider if a pt has a lower rib fracture - Accurate Answer✅✅liver & spleen
injury
Acts like BBQ/marshmellow skewers
How high does the diaphragm rise on inspiration - Accurate Answer✅✅level of
4th ICS
Risk of rib fractures - Accurate Answer✅✅can puncture liver, spleen,, diaphragm
Pop lungs
+2 adjacent rib fractures - Accurate Answer✅✅flail chest
Free floating sternum - Accurate Answer✅✅flail chest
Definition of flail chest - Accurate Answer✅✅+2 adjacent rib fracture
Free floating sternum
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