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WorksheetsOutdoor Emergency Care Chapter 10
Total questions: 19
Worksheet time: 19mins
A patient in early onset of shock informs you that he has had severe diarrhea and vomiting over the past four days. Given this history, you would recognize the pathophysiology of the shock is probably related to:
The loss of red blood cells
Decreased formed elements in the blood
Stoppage of the capillaries
The loss of plasma volume
A patient with severe gastrointestinal bleeding is in what type of shock?
Hypovolemic
Cardiogenic
Hemorrhagic
Distributive
Which of the following conditions is the most probable cause of cardiogenic shock?
Myocardial infarction
Severe vomiting and diarrhea
Gastrointestinal bleeding
Systemic infection
The four major types of shock are:
Hemorrhagic, distributive, hypoxic, and obstructive.
Burn, hypovolemic, distributive, and hypoxic.
Hypoglycemic, obstructive, distributive and hypovolemic.
Hypovolemic, cardiogenic, obstructive, and distributive.
Which of the following statements made by a patient’s family member would lead you to suspect that the patient is suffering from hypovolemic shock?
“He has had a rash for the past three days.”
“He cannot stop throwing up.”
“He has been taking an antibiotic for a chest cold.”
“He got up this morning and was having hard time breathing.”
The underlying cause of distributive shock is:
Poor fluid intake
Loss of blood volume
A damaged heart that has poor contractility
Dilation of blood vessels
Which of the following conditions could be responsible for causing obstructive shock?
Sepsis
Hemorrhage
Pulmonary Embolism
Arrhythmia
A patient in shock with abdominal pain indicates he noticed lots of blood in the toilet after having a bowel movement this morning. You would recognize the possibility of what type of shock?
Septic
Hypovolemic
Hypoxic
Obstructive
You approach a patient and notice a large amount of blood on the ground. The patient appears confused, pale, and diaphoretic. Which one of the following should you do first?
Apply oxygen
Look for the source of the blood
Ensure that the patient’s airway is open and clear
Treat the patient for shock
Shock can best be described as:
The cells are getting glucose and other nutrients but not oxygen.
The amount of oxygen reaching the cells is adequate, but carbon dioxide is not being removed.
The blood contains an adequate amount of oxygen but not enough nutrients for cells to survive
Inadequate tissue perfusion in which cells do not receive sufficient amounts of oxygen and nutrients.
When performing a primary assessment, one of the first signs that the body may be in shock is:
Skin that is warm and diaphoretic
Tachycardia
Hypertension
A slowed respiratory rate
Which of the following statements best indicates that the speaker understands the role of caring for a patient in shock in a prehospital setting?
“The job of the prehospital provider is not to treat the patient for shock and get the patient to the hospital, where treatment for shock can be started.”
“Because shock is a life-threatening condition, it is important to identify its exact cause so that the OEC technician can administer the proper care to correct it.”
“If shock is in the compensatory or early stage, it is not yet life threatening, so you can take your time to carefully assess and treat the patient.”
“Because shock is best treated in the hospital, one should provide care to correct problems affecting ABCDs and then rapidly transport the patient.”
A 56-year-old female has struck a tree. Your assessment reveals gurgling respirations, rapid breathing, and cool, diaphoretic skin. You also observe bruising to the chest and abdomen. Which one of the following should be your first concern?
Determine her pulse rate
Elevate her feet
Evaluate her for shock
Open and maintain her airway
A patient who sustained blunt trauma to the abdominal and pelvic areas in a very serious collision is probably in which type of shock?
Obstructive
Cardiogenic
Distributive
Hypovolemic
Septic shock is caused by:
A failing heart
Blood loss
An infection
A collapsed lung
Which of the following lists of assessment findings indicates that a trauma patient may be in compensated shock?
Anxious, tachycardia, normal BP, pale and cool skin
Slightly confused, tachycardia, hypotensive, warm and flushed skin
Confused and anxious, very tachycardic, very hypotensive, cool and mottled skin
Confused, very bradycardic, hypotensive, cool and cyanotic skin
You are reassessing a patient who has sustained blunt trauma to the chest. Which one of the following reassessment findings best indicates that the patient is deteriorating and is in the decompensating phase of shock?
Strong pulse of 96 beats per minute
Blood pressure of 88/50
Blood oozing from an abdominal laceration
Skin that is cool and dry
In decompensated shock, the failure of body systems despite the body’s attempt to oxygenate vital organs becomes apparent as:
Increased blood pressure and reduced pulse rate.
Augmented capillary refill and increased respiratory rate.
Increased pulse rate and decreased blood pressure.
Increased respiratory rate and reduced level of consciousness.
You get a call for a “serious” injury on the expert trail. As you are skiing up to the patient your first priority is:
Looking to see how much blood is on the snow
Trying to determine how many people may be injured
Assessing the scene for rescuer safety
Performing a primary survey
