Premier Rapid Response Challenge!

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    Shock can result in tachypnea...

    • True
    • False
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Premier Rapid Response Challenge! - Quiz
About This Quiz

The 'Premier Rapid Response Challenge!' quiz assesses knowledge on shock management, focusing on its definition, types, cellular impact, and medication effects. It's designed for healthcare professionals enhancing their rapid response skills to improve patient outcomes.

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  • 2. 

    Your patient was shot mind-line in the back. He is conscious, has a strong/regular radials pulse. VS are as follows: BP of 64/40, HR of 56, O2 SATs of 96% on NRB, RR: 22 BPM. Patient’s arms are warm and pink. You notice he is moving both of his arms, but not his legs. You suspect which kind of shock?

    • Compensated shock

    • Uncompensated shock

    • Neurogenic shock

    • Irreversible shock

    Correct Answer
    A. Neurogenic shock
    Explanation
    Based on the given information, the patient has been shot in the back and is conscious with a strong and regular pulse. However, the patient's blood pressure is low (64/40) and the patient is not moving his legs. These signs suggest neurogenic shock. Neurogenic shock occurs when there is a disruption of the autonomic nervous system, leading to vasodilation and decreased vascular tone. This can result in low blood pressure and loss of motor function below the level of injury, which explains why the patient is not moving his legs.

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  • 3. 

    Shock Is Best Defined As: 

    • Massive amounts of bleeding due to trauma.

    • Hypotension as a direct result from blood loss.

    • Tissue hyper-perfusion secondary to the disruption of blood supply to that tissue.

    • Tissue hypo-perfusion secondary to the disruption of blood supply to that tissue.

    Correct Answer
    A. Tissue hypo-perfusion secondary to the disruption of blood supply to that tissue.
    Explanation
    Shock is best defined as tissue hypo-perfusion secondary to the disruption of blood supply to that tissue. This means that shock occurs when there is a decrease in blood flow to the tissues, leading to inadequate oxygen and nutrient supply. This can be caused by various factors such as trauma, blood loss, or other conditions that disrupt the normal blood supply. Hypotension and massive bleeding are possible consequences of shock, but they are not the best definition of shock itself.

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  • 4. 

    Uncompensated shock cannot be reversed...

    • True

    • False

    Correct Answer
    A. False
    Explanation
    Uncompensated shock can be reversed. Shock is a life-threatening condition where the body's vital organs do not receive enough oxygen and nutrients. In the uncompensated stage, the body's compensatory mechanisms are unable to restore normal blood flow and oxygen delivery. However, with prompt medical intervention and appropriate treatment, it is possible to reverse uncompensated shock and restore normal blood flow and organ function. Therefore, the statement that uncompensated shock cannot be reversed is false.

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  • 5. 

    You are responding on an 76 YOM who was involved in an auto-pedestrian accident. Which medication might disguise his compensated shock?

    • Lipitor due to its effects on the HR

    • Aspirin due to its effects on the blood’s viscosity.

    • Metoprolol due to it’s effect on the HR.

    • Furosemide due to it’s effect on the BP.

    Correct Answer
    A. Metoprolol due to it’s effect on the HR.
    Explanation
    Metoprolol is a beta-blocker medication that slows down the heart rate (HR). Compensated shock is a condition in which the body is able to maintain adequate blood pressure and perfusion to vital organs despite a decrease in blood volume. By slowing down the heart rate, metoprolol can help disguise the signs of shock by maintaining an adequate blood pressure. This can be dangerous as it can delay the recognition and treatment of shock, which can lead to further complications. Therefore, metoprolol can potentially disguise compensated shock.

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  • 6. 

    Shock results in which of the following changes on the cellular level?

    • Aerobic Metabolism

    • Histotoxic Hypoxia

    • Anaerobic Metabolism

    • Kreb Cycle Activation

    Correct Answer
    A. Anaerobic Metabolism
    Explanation
    Shock results in a decrease in oxygen supply to the tissues, leading to a switch from aerobic metabolism (which requires oxygen) to anaerobic metabolism (which does not require oxygen). Anaerobic metabolism produces energy through the breakdown of glucose without the use of oxygen, resulting in the production of lactic acid as a byproduct. This metabolic shift is a response to the reduced oxygen availability and helps to provide some energy to the cells in the absence of sufficient oxygen.

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  • 7. 

    A patient suffering from a pulmonary embolism is suffering from which type of shock?

    • Distributive Shock.

    • Cardiogenic Shock

    • Hypoxic Shock

    • Obstructive Shock

    Correct Answer
    A. Obstructive Shock
    Explanation
    A pulmonary embolism occurs when a blood clot blocks one of the arteries in the lungs, leading to a decrease in blood flow and oxygenation. This obstruction of blood flow can cause a decrease in cardiac output, leading to inadequate tissue perfusion and oxygen delivery. This aligns with the characteristics of obstructive shock, where there is a mechanical obstruction preventing normal blood flow and causing inadequate tissue perfusion. Distributive shock is characterized by abnormal distribution of blood flow, cardiogenic shock is caused by a dysfunction in the heart's ability to pump blood effectively, and hypoxic shock is caused by a lack of oxygen in the tissues.

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  • 8. 

    Which of the following patients is not experiencing a form of obstructive shock?

    • 56 YOF who has a saddleback PE secondary to knee surgery.

    • 84 YOM who is suffering from an anaphylactic reaction after eating a cookie with nuts it in.

    • 14 YOM with an Asthma exacerbation and pressure on the vena cava due to air trapping.

    • 76 YOF suffering from a thrombus that has lodged in one of her great vessels.

    Correct Answer
    A. 84 YOM who is suffering from an anaphylactic reaction after eating a cookie with nuts it in.
    Explanation
    The correct answer is 84 YOM who is suffering from an anaphylactic reaction after eating a cookie with nuts in it. This patient is not experiencing a form of obstructive shock because anaphylactic shock is a form of distributive shock, not obstructive shock. Obstructive shock occurs when there is a physical obstruction that prevents blood flow, such as a saddleback PE or a thrombus lodged in a great vessel.

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  • 9. 

    Which of the following is not a form of distributive shock

    • Septic Shock

    • Anaphylactic Shock

    • Cardiogenic Shock

    • Neurogenic Shock

    Correct Answer
    A. Cardiogenic Shock
    Explanation
    Cardiogenic shock is not a form of distributive shock. Distributive shock is characterized by widespread vasodilation and impaired distribution of blood flow, leading to decreased systemic vascular resistance and hypotension. Septic shock is caused by a severe infection, anaphylactic shock is an allergic reaction, and neurogenic shock is a result of damage to the nervous system. In contrast, cardiogenic shock occurs when the heart is unable to pump enough blood to meet the body's needs, usually due to a heart attack or severe heart failure.

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Quiz Review Timeline (Updated): Mar 22, 2023 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Jun 22, 2016
    Quiz Created by
    Patinasepia
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