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Chapter 12. Shock in Surgical Patients

Shock can be caused by:

A. Depletion of intravascular volume.

B. Loss of autonomic control of the vasculature.

C. Severe untreated systemic inflammation.

D. Both A and C.

E. A, B, and C.

The correct answer is E. A, B, and C

Hypothermia in hemorrhagic shock:

A. Is of limited risk in the initial 24 hours after injury.

B. Can contribute to coagulopathy.

C. Is unusual in the trauma population outside of cold-weather or water immersion injuries.

D. Is best treated by warming the ambient room temperature.

E. Is a secondary concern that can be addressed after the care of injuries.

The correct answer is B. Can contribute to coagulopathy

Cardiac or great vessel compressive shock:

A. Can be caused by pericardial tamponade.

B. May accompany tension pneumothorax.

C. Is worsened by the need for positive pressure ventilation.

D. Cannot be caused by intraabdominal injury.

E. A, B, and C.

The correct answer is E. A, B, and C

Neurogenic shock is characterized by:

A. Hypertension and warm skin.

B. Hypotension and warm skin.

C. Hypertension and cool skin.

D. Hypotension and cool skin.

The correct answer is B. Hypotension and warm skin

Ultrasound use in the ICU for evaluation of a patient in shock includes:

A. E-FAST.

B. IVC evaluation as assessment of intravascular volume.

C. Echocardiogram to evaluate for cardiac function.

D. All of the above.

The correct answer is D. All of the above

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