TCRN Shock and Resuscitation Questions and Answers

Question 1

A 28-year-old male arrives after a motorcycle crash with a suspected high thoracic spinal cord injury.
He is hypotensive (BP 80/40 mmHg), bradycardic (HR 48 bpm), and his skin is warm and dry.
These findings are most characteristic of which type of shock?

Accepted Answer

Neurogenic shock

Answer

Cardiogenic shock

Answer

Hemorrhagic shock

Answer

Spinal shock

Question 2

A trauma patient is receiving a massive transfusion protocol (MTP). To mitigate the 'trauma triad of death,' which balanced ratio of blood products is most commonly recommended?

Accepted Answer

1 unit PRBCs : 1 unit FFP : 1 unit platelets

Answer

1 unit packed red blood cells (PRBCs) : 2 units fresh frozen plasma (FFP) : 1 unit platelets

Answer

2 units PRBCs : 1 unit FFP : 1 unit platelets

Answer

1 unit PRBCs : 1 unit FFP : 2 units platelets

Question 3

The resuscitation strategy known as 'permissive hypotension' is employed in certain trauma patients with uncontrolled hemorrhage. For which of the following patient populations is this strategy generally contraindicated?

Accepted Answer

Patients with a suspected traumatic brain injury (TBI)

Answer

Patients with penetrating abdominal trauma

Answer

Patients with an unstable pelvic fracture

Answer

Patients with extremity amputation and active bleeding

Question 4

A severely injured trauma patient is developing the 'trauma triad of death.' Which of the following components is NOT part of this lethal triad?

Accepted Answer

Hypocalcemia

Answer

Hypothermia

Answer

Acidosis

Answer

Coagulopathy

Question 5

A patient arrives after a fall from height and is in hemorrhagic shock. The massive transfusion protocol (MTP) has been activated. In addition to blood products, which medication should be administered early to inhibit fibrinolysis and stabilize clot formation?

Accepted Answer

Tranexamic acid (TXA)

Answer

Calcium gluconate

Answer

Sodium bicarbonate

Answer

Vasopressin

Question 6

Which of the following is the primary goal of damage control resuscitation (DCR) in a patient with exsanguinating hemorrhage?

Accepted Answer

To restore physiologic stability and correct coagulopathy before surgical intervention.

Answer

To normalize all vital signs and laboratory values to pre-injury levels in the emergency department.

Answer

To rapidly transport the patient to the operating room for definitive surgical hemorrhage control.

Answer

To aggressively infuse crystalloid fluids to achieve a systolic blood pressure greater than 120 mmHg.