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TCAR TNCC -180 Questions and Answers 2024/2025 (A+ GRADED 100% VERIFIED).
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TCAR TNCC -180 Questions and Answers 2024/2025 (A+ GRADED100% VERIFIED).
Neurogenic shock - answer > results from impairment of the descending
sympathetic pathways, results in loss of vasomotor tone and in sympathetic
innervation to the heart. Rare in injury below T6. Loss of vasomotor tone cause
vasodilation of lower extremities, visceral organs, blood pools in lower extremities.
Bradycardia. Vasopressors are required, atropine for symptomatic bradycardia
Neurologic level of injury - answer > determined primarily by clinical exam.
Frequently discrepancy between the bony and neurologic levels because of the
nerve innervation points
Central cord syndrome - answer > disproportionately greater loss of motor strength
in the upper extremities than in the lower extremities, with varying degress of
sensory loss. Common with hyperflexion injury
Angiography - answer > 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.
Diagnostic laparoscopy - answer > 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
Diaphragmatic injuries - answer > Usually resultant of penetrating
throacoabdominal injuries on the left side, including 11-12 rib fractures on the left.
Small intestine injuries - answer > 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
Anterior cord syndrome - answer > parapalegia and a dissociated sensory loss with
a loss of pain and temporature sensation
C 1 - C 4 - answer > require intubation, below C 4 consider for increased work of
breathing secondary to muscle innervation changes
Poikilothermic - answer > Thermoregulartion is impaired and patient will take the
temp of the room, adversely impacts bradycardic patients
Spinal Shock - answer > flaccid paralysis, loss of autonomic function, abscence of
cutaneous and/or proprioceptive sensation, cessation of all reflex activity below
site of injury
C2 dens fracture - answer > Common in geriatric patients, hyperextension injury
Compression fractures - answer > axial loading injury, degree of compression
affects stability, thoracic and lumbar spine usually affected
Burst fracture - answer > fracturing in outward pattern, may impinge cord, can
have compression and cord compression
Chance fracture - answer > Usually L1-2, teardrop fracture, may result in
paraplegia, and small bowel injury from lap belt compression and lumbar spine
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