Question 1

The endpoint of burn shock is defined as the time when the individual is able to do which of the following?

Accepted Answer

A)  Maintain adequate blood pressure for 4 hours. 
B)  Maintain adequate urine output for 2 hours. 
C)  Manage pain without narcotics. 
D)  Manage pain during dressing changes. 
A)  Maintain adequate blood pressure for 4 hours. 
B)  Maintain adequate urine output for 2 hours. 
C)  Manage pain without narcotics. 
D)  Manage pain during dressing changes.

Question 2

Which clinical manifestation of septic shock confirms an elevation in immune system response?

Accepted Answer

A)  Tachycardia 
B)  Increased white blood cell count 
C)  Low respiratory rate 
D)  Hypothermia 
A)  Tachycardia 
B)  Increased white blood cell count 
C)  Low respiratory rate 
D)  Hypothermia

Question 3

Match the types of shock with the corresponding descriptions.Terms can be used more than once.
-Follows a systemic inflammatory response.

Accepted Answer

A) Cardiogenic 
B) Hypovolemic 
C) Neurogenic 
D) Anaphylactic 
E) Septic 
A) Cardiogenic 
B) Hypovolemic 
C) Neurogenic 
D) Anaphylactic 
E) Septic

Question 4

Which condition does a burn injury create for an extended period?

Accepted Answer

A)  Hypervolemia 
B)  Hypermetabolism 
C)  Hyponatremia 
D)  Hypotension 
A)  Hypervolemia 
B)  Hypermetabolism 
C)  Hyponatremia 
D)  Hypotension

Question 5

Hypovolemic shock begins to develop when intravascular volume has decreased by what percentage?

Accepted Answer

A)  5 
B)  10 
C)  15 
D)  20 
A)  5 
B)  10 
C)  15 
D)  20

Question 6

What is the clinical hallmark of neurogenic shock as a result of the overstimulation of the parasympathetic nervous system?

Accepted Answer

A)  Vasoconstriction 
B)  Vasodilation 
C)  Increased metabolism 
D)  Respiratory distress 
A)  Vasoconstriction 
B)  Vasodilation 
C)  Increased metabolism 
D)  Respiratory distress

Question 7

Daily evaporative water loss after a burn injury is approximately how many times the normal?

Accepted Answer

A)  5 
B)  10 
C)  15 
D)  20 
A)  5 
B)  10 
C)  15 
D)  20

Question 8

What stimulates the respiratory burst and production of highly toxic free radicals in the multiple organ dysfunction syndrome (MODS)?

Accepted Answer

A)  Neutrophils adhering to the endothelium 
B)  Activation of the complement cascade 
C)  Release of prostaglandins, thromboxanes, and leukotrienes 
D)  Activation of the fibrinolytic system 
A)  Neutrophils adhering to the endothelium 
B)  Activation of the complement cascade 
C)  Release of prostaglandins, thromboxanes, and leukotrienes 
D)  Activation of the fibrinolytic system

Question 9

For which type of shock would antihistamines and corticosteroids be prescribed?

Accepted Answer

A)  Septic 
B)  Anaphylactic 
C)  Hypovolemic 
D)  Cardiogenic 
A)  Septic 
B)  Anaphylactic 
C)  Hypovolemic 
D)  Cardiogenic

Question 10

The release of catecholamine by the adrenal glands compensate for which initial effects of hypovolemic shock?

Accepted Answer

A)  Interstitial fluid moves out of the vascular compartment. 
B)  Systemic vascular resistance is decreased. 
C)  Heart rate is increased. 
D)  Water excretion is increased. 
A)  Interstitial fluid moves out of the vascular compartment. 
B)  Systemic vascular resistance is decreased. 
C)  Heart rate is increased. 
D)  Water excretion is increased.

Question 11

Which form of shock is often more severe than other forms because of its sudden,rapid systemic vasodilation?

Accepted Answer

A)  Septic 
B)  Hypovolemic 
C)  Anaphylactic 
D)  Neurogenic 
A)  Septic 
B)  Hypovolemic 
C)  Anaphylactic 
D)  Neurogenic

Question 12

What type of shock is related to a decrease in systemic vascular resistance?

Accepted Answer

A)  Septic 
B)  Cardiogenic 
C)  Hypovolemic 
D)  Heart failure 
A)  Septic 
B)  Cardiogenic 
C)  Hypovolemic 
D)  Heart failure

Question 13

Which feedback loop will further impair oxygen in all types of shock? (Select all that apply.)

Accepted Answer

A)  Activation of the fibrinolytic cascade 
B)  Increased circulating volume 
C)  Hypermetabolic state 
D)  Lysosomal enzyme release 
E)  Activation of the clotting cascade 
A)  Activation of the fibrinolytic cascade 
B)  Increased circulating volume 
C)  Hypermetabolic state 
D)  Lysosomal enzyme release 
E)  Activation of the clotting cascade

Exam 48: Shock, Multiple Organ Dysfunction Syndrome, and Burns in Adults

The endpoint of burn shock is defined as the time when the individual is able to do which of the following?

Which clinical manifestation of septic shock confirms an elevation in immune system response?

Match the types of shock with the corresponding descriptions.Terms can be used more than once. -Follows a systemic inflammatory response.

Which condition does a burn injury create for an extended period?

Hypovolemic shock begins to develop when intravascular volume has decreased by what percentage?

What is the clinical hallmark of neurogenic shock as a result of the overstimulation of the parasympathetic nervous system?

Daily evaporative water loss after a burn injury is approximately how many times the normal?

What stimulates the respiratory burst and production of highly toxic free radicals in the multiple organ dysfunction syndrome (MODS)?

For which type of shock would antihistamines and corticosteroids be prescribed?

The release of catecholamine by the adrenal glands compensate for which initial effects of hypovolemic shock?

Which form of shock is often more severe than other forms because of its sudden,rapid systemic vasodilation?

What type of shock is related to a decrease in systemic vascular resistance?

Which feedback loop will further impair oxygen in all types of shock? (Select all that apply.)

Cellular Biology

Altered Cellular and Tissue Biology

The Cellular Environment: Fluids and Electrolytes, Acids and Bases

Genes and Genetic Diseases

Genes, Environment-Lifestyle, and Common Diseases

Epigenetics and Disease

Innate Immunity: Inflammation

Adaptive Immunity

Alterations in Immunity and Inflammation

Infection

Stress and Disease

Cancer Biology

Cancer Epidemiology

Cancer in Children

Structure and Function of the Neurologic System

Pain, Temperature Regulation, Sleep, and Sensory Function

Alterations in Cognitive Systems,Cerebral Hemodynamics,and Motor Function

Disorders of the Central and Peripheral Nervous Systems and the Neuromuscular Junction

Neurobiology of Schizophrenia, Mood Disorders, and Anxiety Disorders

Alterations of Neurologic Function in Children

Mechanisms of Hormonal Regulation

Alterations of Hormonal Regulation

Structure and Function of the Reproductive Systems

Alterations of the Female Reproductive System

Alterations of the Male Reproductive System

Sexually Transmitted Infections

Structure and Function of the Hematologic System

Alterations of Erythrocyte Function

Alterations of Leukocyte, Lymphoid, and Hemostatic Function

Alterations of Hematologic Function in Children

Structure and Function of the Cardiovascular and Lymphatic Systems

Alterations of Cardiovascular Function

Alterations of Cardiovascular Function in Children

Structure and Function of the Pulmonary System

Alterations of Pulmonary Function

Alterations of Pulmonary Function in Children

Structure and Function of the Renal and Urologic Systems

Alterations of Renal and Urinary Tract Function

Alterations of Renal and Urinary Tract Function in Children

Structure and Function of the Digestive System

Alterations of Digestive Function

Alterations of Digestive Function in Children

Structure and Function of the Musculoskeletal System

Alterations of Musculoskeletal Function

Alterations of Musculoskeletal Function in Children

Structure, Function, and Disorders of the Integument

Alterations of the Integument in Children

Shock, Multiple Organ Dysfunction Syndrome, and Burns in Children

Filters