TNCC Written Exam UPDATED Exam
Questions and CORRECT Answers
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
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
