TNCC Written Exam 2022 (92 Questions with 100% Correct Answers)

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What is the best measure of the adequacy of cellular perfusion and helps predict the outcome of resuscitation? - ✔✔Base deficit used in conjunction with serum lactate 2. Will hypocapnia cause va... soconstriction or vasodilation, especially in the cerebral vasculature? - ✔✔Vasoconstriction 3. What results from tissue hypo perfusion and oxygen deficit? - ✔✔Metabolic acidosis 4. What type of shock results in generalized vasodilation? - ✔✔Neurogenic shock 5. Spinal cord injuries at C3-C5 causes loss of what nerves function, resulting in what? - ✔✔Phrenic nerve; paralyzed diaphragm and inability to breath 6. Extremity elevation AT the level of the heart is beneficial for what type of injury? - ✔✔Compartment Syndrome 7. What is a high risk of frostbite? - ✔✔Thrombus formation 8. What two medications can be administered to maintain perfusion after a frostbite injury along with rewarming? - ✔✔Tissue plasminogen activator or non steroidal anti-inflammatory medication (NSAIDS) 9. An rise in diastolic blood pressures is a sign of increasing what? - ✔✔Peripheral resistance 10. What position will benefit the airway and work of breathing for the bariatric patient? - ✔✔Reverse Trendelenburg11. Which phase of a blast results from flying debris, projectiles, and bomb fragments causing lacerations or penetrating injuries? - ✔✔Secondary Phase 12. What phase of a blast results from any explosion-related illness or injury including hyperglycemia, hypertension, angina, asthma, COPD, or sepsis? - ✔✔Quaternary Phase 13. What phase of a blast results from individuals being thrown by the blast and impacting walls, ground, or any hard object? - ✔✔Tertiary Phase 14. 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? - ✔✔Primary Phase 15. Signs of what include muscle pain or weakness, dark red or brown urine, general weakness or malaise, and elevated creatinine kinase levels? - ✔✔Rhabdomyolosis 16. Signs of what include anxiety, pleuritic chest pain, dyspnea, hypoxemia, hemoptysis, cough, orthopnea, adventitious lung sounds, decreased lung sounds, jugular vein distention, or hypotension? - ✔✔Pulmonary Embolus 17. Signs of what include headache, nausea and vomiting, amnesia, behavioral changes, altered level of consciousness? - ✔✔Increased intracranial pressure 18. Signs of what include asymmetric pupillary reactivity, unilateral dilation, widening pulse pressure, abnormal motor posturing, bradycardia, and decreased respiratory effort? - ✔✔Late signs of increased ICP with Herniation Syndrome 19. What is caused by the tear of the bridging veins or middle meningeal artery? - ✔✔Subdural and Epidural Hematoma 20. Affect concentration, memory, sleep, mode, and libido. Causes headaches, dizziness and nausea. - ✔✔Postconcussive Syndrome/ Mild Traumatic Brain Injury21. Signs and symptoms similar to early signs of increased ICP but do not worsen. - ✔✔Postconcussive Syndrome/ Mild Traumatic Brain Injury 22. Cerebral Perfusion Pressure = ______-______ - ✔✔MAP - ICP 23. What is the range for CO2 to maximize perfusion? - ✔✔35-45 24. Does hypoventilation cause dilation or constriction? Increase or decrease ICP? - ✔✔Dilation and increase in ICP due to high CO2 25. Hyperventilation cause dilation or constriction? - ✔✔Constriction d/t low CO2 26. Pupils with pressure on cranial nerve - ✔✔Fixed and dilated 27. Pupils with opiates vs stimulants - ✔✔small; large 28. Pupils with anticholinergics such as atropine, ipratropium, and scopolamine - ✔✔large 29. Sluggish reaction of pupils is an early sign of what? - ✔✔Increasing ICP 30. Glasgow Coma Score with Mild, Moderate, and Severe TBI - ✔✔Mild = 13-15 Moderate = 9-12 Severe = 3-8 31. Goal value for ICP - ✔✔<15 32. Goal value for Cerebral Perfusion Pressure (CPP) - ✔✔>60 33. Le Fort Fracture - ✔✔Fracture of the maxilla [Show More]

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