TCRN Neurological Trauma

Question 1

A patient's GCS is calculated as: eyes open to voice (3), confused verbal response (4), localizes to pain (5). What is the total GCS score?

Accepted Answer

12

Answer

10

Answer

11

Answer

13

Question 2

Which clinical finding is the earliest sign of increasing intracranial pressure (ICP)?

Accepted Answer

Altered level of consciousness or restlessness

Answer

Cushing's triad

Answer

Decerebrate posturing

Answer

Fixed and dilated pupils

Question 3

Cushing's triad, the late sign of increased ICP, includes which three findings?

Accepted Answer

Bradycardia, hypertension, and irregular respirations

Answer

Tachycardia, hypotension, and bradypnea

Answer

Tachycardia, hypertension, and tachypnea

Answer

Bradycardia, hypotension, and apnea

Question 4

A patient with a basilar skull fracture may exhibit which classic finding?

Accepted Answer

Battle's sign or raccoon eyes with possible CSF rhinorrhea or otorrhea

Answer

Lhermitte's sign

Answer

Babinski reflex bilaterally

Answer

Absent corneal reflexes only

Question 5

Which type of intracranial hematoma is associated with a lucid interval followed by rapid deterioration?

Accepted Answer

Epidural hematoma

Answer

Subdural hematoma

Answer

Diffuse axonal injury

Answer

Intracerebral hemorrhage

Question 6

What is the target systolic blood pressure for a hypotensive patient with a traumatic brain injury (TBI) per ATLS guidelines?

Accepted Answer

≥90 mmHg

Answer

≥70 mmHg

Answer

≥110 mmHg

Answer

≥130 mmHg