Exam (elaborations)
TCRN PRACTICE QUESTIONS WITH CORRECT ANSWERS
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TCRN PRACTICE QUESTIONS WITH CORRECT ANSWERS
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TCRN EXAM QUESTIONS ANDANSWERS
poikliothermia s- sans✔✔lack sof sregulation sof sbody stemperature sfollowing sspinal scord
sinjury
what slevel sof sinjury sis sdiaphragm saffected sand sif scomplete sinjury soccurs swill srequire
sventilation ssupport? s- sans✔✔C4
what sis sthe sloss sof smotor sand sreflexes sbelow sthe slevel sof sinjury scalled? s-
sans✔✔spinal sshock. susually sstarts simmediately sand sresolves sin s2-16 sweeks
neurogenic sshock svs sspinal sshock s- sans✔✔neurogenic sshock s= shypotension sand
sbradycardia s
spinal sshock s= sloss sof smotor sfunction sand sreflexes
Autonomic sDysreflexia s(hyperreflexia) soccurs sabove swhich slevel sof sinjury? s- sans✔✔T6
what selectrolyte sabnormality smay soccur sas sa sresult sof sprolonged snon-weight sbearing?
s- sans✔✔hypercalcemia s- scalcium smoves sfrom sbones sinto sserum
"lipstick ssign" s- sans✔✔when strauma spt shas slipstick son sher sshirt. sthis scan sindicate
shyperflexion sinjury
rear send smvc smost slikely sto sbe swhat stype sof sinjury? s1) shyperflexion s2)hyper sextension
s- sans✔✔hyperexstension. sthis sis salso sknown sas swhiplash
axial sloading sor svertical scompression sresults sin swhat stype sof sspinal sfractures? s-
sans✔✔burst sfractures
burst sfractures sare sconsidered sstable sor sunstable? s- sans✔✔unstable sbecause sbony
spieces scould sbe scompressing sor spenetrating sthe sspinal scord
repetitive sMTBIs ssuch sas sin ssports scan sresult sin swhat scomplication? s- sans✔✔chronic
straumatic sencephalopathy s- sdegeneration sand satrophy ssimilar sto sdementia
TBI spatients sshould shave sHOB sin swhat sposition sto slower sICP s- sans✔✔30 sdegrees sor
smore
, this sis sa spotential sinfection ssecondary sto sdepressed sor sopen sskull sfractures? s-
sans✔✔meningitis
following sa sMTBI swhen scan sthe spatient sreturn sto splaying sfootball? s- sans✔✔when sthe
spt sis ssymptom sfree
how slong sshould sseizure sprophylaxis sbe scontinued sfollowing sa ssevere sTBI? s- sans✔✔7
sdays. sif snot sseizure sin s7 sdays, smay sbe sdiscontinued
when sgiving ssedation sand sanalgesia sto sTBI spatients, swhat smust sbe sclosely smonitored
sto sprevent ssecondary sinjury? s- sans✔✔hypotension. svasodilation sand shypotension
slower sCBF sand scan sresult sin sworse sneurological soutcomes
what sis sthen stemperature sgoal sfor ssever sTBI spatients? s- sans✔✔between s36 sand s37
sdegrees. shyperthermia
what sis sthe spotential sadverse seffect sof shypertonic ssaline sadministration? s-
sans✔✔central spontine smyelinosis. sthose sat shighest srisk sare spatients sthat sare
shyponatremic.
what sis sthe sosmotic sdiuretic sused sto streat scerebral sedema? s- sans✔✔mannitol. scare
sshould sbe staken sto savoid shypovolemia sand shypotension sdue sto sdiuresis.
Hyperventilation swith shypocarbia scan slead sto swhat sin sa sTBI spatient? s- sans✔✔reduced
sCBF. sPaCO2 sis sa spotent svasodilator. shypocarbia sresults sin svasoconstriction sand
sdecreased sCBF.
what sare sthe sMAP sand sPaO2 sgoals sfor sa sTBI spatient? s- sans✔✔MAP sand sPaO2
sgreater sthan s80 smmHg
what sis sthe sgoal sfor sCPP sfor san spatient swith sTBI? s- sans✔✔CPP sgreater sthan s60
smmHg
what sis sthe sICP sgoal sfor sa spatient swith sTBI? s- sans✔✔ICP sless sthan s20 smmHg
what sis sthe scalculation sfor sCPP? s- sans✔✔MAP s- sICP s= sCPP
in sa smutlisystems strauma spatient swith sTBI, swhat scomplication scan sincrease sICP sand
sworsen sneurological soutcomes? s- sans✔✔abdominal scompartment ssyndrome.
selevation sin sabdominal spressure sreduces svenous sdrainage sand sincreases sICP.
a srapidly sexpanding sepidural shematoma scan sresult sin suncal sherniation. swhich spupil
swill sdilate swith suncal sherniation? s- sans✔✔ipsilateral spupil
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