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Shock and Hypotension

Total questions: 16

Worksheet time: 19mins

Name
Class
Date
1.

What are the 3 pathophysiological mechanism of hypotension

a)

Decreased Preload

b)

Hypoventilation

c)

Decreased cardiac function

d)

Decreased systemic vascular resistance

2.

Rosie is presenting laterally recumbent to your emergency room. Based on her tachycardia, pale mucous membrane, prolonged CRT and hypotension, you suspect that she is in shock. Which stage(s) of shock could she be in?

a)

Compensatory shock

b)

Early decompensatory shock

c)

Late decompensatory shock

d)

She is not in shock

3.

Which of the following condition(s) is/are associated with a decrease in Preload?

a)

Anemia

b)

GDV

c)

Acute hemorrhage

d)

Dilated cardiomyopathy

4.

A decrease in afterload leads to a decrease in stroke volume.

a)

TRUE

b)

FALSE

5.

Bella is a 5yo FS cocker spaniel that presents to you with a severe anemia (PCV 6%). Which type of shock is Bella likely suffering from.

a)

Hypovolemic shock

b)

Distributive shock

c)

Cardiogenic shock

d)

Hypoxemic shock

6.

A decrease in systemic vascular resistance can be treated with:

a)

vasopressors

b)

positive inotropes

c)

ace-inhibitors

d)

intravenous fluid

7.

Metabolic shock is caused by a decrease in oxygen delivery to the cells.

a)

FALSE

b)

TRUE

8.

During Hypotension, the body initiates 3 systems to compensate for this hypotensive state. Which systems are involved?

a)

RAAS

b)

Sympathetic nervous system

c)

Atrial natriuretic peptide

d)

ADH/Vasopressin

9.

Both RAAS and ADH/Vasopressin systems are responsible for peripheral vasoconstriction followed by water retention.

a)

TRUE

b)

FALSE

10.

Which of the following type(s) of shock is/are associated with a decreased cardiac output?

a)

Distributive shock

b)

Hypovolemic shock

c)

Cardiogenic shock

d)

Metabolic shock

11.

Thromboembolism, GDV and cardiac tamponade are conditions that can be associated with obstructive type of shock.

a)

TRUE

b)

FALSE

12.

Cardiac output is the volume of blood pumped out of the heart per contraction.

a)

TRUE

b)

FALSE

13.

A decreased in systemic vascular resistance, is caused by peripheral (1)______________ and caused (2) _________ mean arterial pressure

a)

(1) vasodilation, (2) increased

b)

(1) vasoconstriction, (2) increased

c)

(1) vasodilation, (2) decreased

d)

(1) vasoconstriction, (2) decreased

14.

Bob is a 4mo MI Yorkie puppy that presents for acute severe vomiting and diarrhea. On presentation, he is tachycardic, hypotensive (systolic BP 50mmHg) and hypoglycemic (Glucose 23). Which type of shock is he likely suffering from?

a)

Hypovolemic and metabolic shocks

b)

Hypovolemic and obstructive shocks

c)

Cardiogenic and metabolic shocks

d)

Cardiogenic and obstructive shocks

15.

Severe bradycardia and severe tachycardia can lead to a decrease in cardiac output and therefore an increase in mean arterial pressure.

a)

TRUE

b)

FALSE

16.

BONUS question: which country is the most beautiful country on the planet ;-) ?

a)

Switzerland

b)

Switzerland

c)

Switzerland

d)

USA