Deck 32: Shock

Question 1

Hypoperfusion is the result of

A) increased blood pressure due to severe bodily trauma.
B) lowered body temperature which slows systems in the body.
C) inadequate blood flow through an organ or part of the body.
D) cells in the body which burst due to lack of oxygen.

Answer 1

inadequate blood flow through an organ or part of the body.

Question 2

Container failure is a type of

A) hypovolemic shock.
B) hemorrhagic shock.
C) obstructive shock.
D) distributive shock.

Answer 2

distributive shock.

Question 3

Shock that occurs as a result of infection is known as

A) septic shock.
B) obstructive shock.
C) hypovolemic shock.
D) anaphylactic shock.

Answer 3

septic shock.

Question 4

When any type of shock occurs,

A) the heart beats too quickly.
B) waste products accumulate in the body.
C) cells expand until they cannot function.
D) there is large amounts of fluid loss.

Question 5

Which of the following statements about shock is correct?

A) Without treatment, soft tissue will suffer damage in 10 to 12 hours.
B) Without treatment, the brain will suffer damage in 30 to 60 minutes.
C) Without treatment, muscles will suffer damage in 4 to 6 hours.
D) Without treatment, the kidneys will suffer damage in 5 to 15 minutes.

Question 6

Which of the following statements about cardiogenic shock is NOT correct?

A) Cardiogenic shock may occur as a result of injury to the heart.
B) Cardiogenic shock results in decompensated shock.
C) Cardiogenic shock is a type of distributive shock.
D) Cardiogenic shock does not typically occur in younger adults.

Question 7

Shock with a normal blood pressure is also known as

A) late shock.
B) psychogenic shock.
C) compensated shock.
D) distributive shock.

Question 8

You are examining an injured 5 year old boy for signs of shock. You perform a capillary refill test and note that it takes approximately 3 seconds for the refill to occur. The results of this test alone suggest that the child

A) is in early shock stages.
B) may be in late shock stages.
C) may be cold.
D) is in a normal state.

Question 9

The difference between hemorrhagic shock and hypovolemic shock is

A) the organ systems which are affected during shock by fluid losses.
B) the type of body fluid losses which cause the shock to occur.
C) whether or not the blood pools in the body as the shock occurs.
D) the amount of body fluid loss which occurs in the shock event.

Question 10

Distributive shock occurs as a result of

A) hypoperfusion.
B) fluid loss.
C) pump failure.
D) container failure.

Question 11

You are examining a 4 year old male who has been in a car accident. You note that the patient has normal blood pressure and cool, mottled extremities. You conclude that the patient

A) is uninjured.
B) is cold due to exposure.
C) may have limb injuries.
D) may be in shock.

Question 12

Chest wall injury is a common cause of shock in

A) adolescents.
B) older adults.
C) children.
D) young adults.

Question 13

A 34 year old male has experienced severe trauma to the lungs from a motorcycle accident. He is displaying signs and symptoms of shock. He is likely suffering from which type of shock?

A) Obstructive shock
B) Hemorrhagic shock
C) Distributive shock
D) Cardiogenic shock

Question 14

Which of the following statements about the stages of shock is correct?

A) You will not be able to identify when the patient moves from late to irreversible shock.
B) The main differences between early and late shock is nausea and vomiting symptoms.
C) Patients often display clear signs and symptoms of compensated shock.
D) Once decompensated shock occurs, the patient experiences lethal damage to the body.

Question 15

You have arrived at an emergency scene where a 1 year old infant has been injured. As you examine the infant, you are aware that

A) an infant in shock may experience stiffened muscles and extremities.
B) an infant in shock will most likely appear to be very anxious and upset.
C) an infant may have normal blood pressure in advanced stages of shock.
D) an infant does not develop delayed capillary refill time as a result of shock.

Question 16

A 36 year old woman in her third trimester of pregnancy is showing signs and symptoms of shock. You should position the patient

A) on her left side.
B) flat on her back.
C) sitting up on her back.
D) on her right side.

Question 17

Your 45 year old male patient is in shock. You should position him

A) in a supine position.
B) in a prone position.
C) in Fowler's position.
D) in the tripod position.

Question 18

A 42 year old woman was in a motor vehicle collision. When you arrive on scene, you should

A) put on appropriate PPE, approach the patient, evaluate the mechanism of injury and identify life-threatening conditions.
B) approach the patient, put on appropriate PPE, identify life-threatening conditions and evaluate the mechanism of injury.
C) put on appropriate PPE, approach the patient, identify life-threatening conditions and evaluate the mechanism of injury.
D) evaluate the mechanism of injury, approach the patient, put on appropriate PPE and identify life-threatening conditions.

Question 19

A patient who has signs and symptoms of shock should be reassessed at least

A) every 3 minutes.
B) every 10 minutes.
C) every 7 minutes.
D) every 5 minutes.

Question 20

Which of the following statements concerning patients in shock is correct?

A) Any type of shock may cause an altered mental status in patients.
B) Shock patients with adequate breathing are treated with positive-pressure oxygen.
C) Priority status is only given to patients suffering from late stages of shock.
D) Patients suffering from hemorrhagic shock may be given small sips of water.

Question 21

One of the earliest signs of shock in a patient is

A) reduced blood pressure.
B) shallow breathing.
C) an irregular pulse.
D) a change in mental status.

Question 22

Neurogenic shock may occur if a patient has

A) an underlying infection.
B) experienced a spinal cord trauma.
C) a traumatic brain injury.
D) experienced a psychological trauma.

Question 23

You would most likely see cool and mottled extremities as a sign of shock on which of the following patients?

A) A 57 year old man
B) A 5 year old girl
C) A 32 year old woman
D) A 16 year old boy

Question 24

Which of the following statements about peripheral pulses are correct?

A) Peripheral pulses in patients with shock do not change to a noticeable degree.
B) Peripheral pulses in patients with shock will be absent and undetectable.
C) Peripheral pulses in patients with shock are often stronger than normal.
D) Peripheral pulses in patients with shock may be weaker than normal.