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SHOCK

Total questions: 50

Worksheet time: 4hrs 10mins

Name
Class
Date
1.

What is shock?

a)

When you meet your celebrity crush in person.

b)

Is it circulation issue when the body isn't circulating blood to the bottom extremities.

c)

Is a circulation problem cause when the body tissue doesn't get enough oxygenated blood.

d)

When you stub your toe.

2.

What can cause shock?

a)

Any injury or illness

b)

Finding out that you are a twin

c)

Blowing your nose too hard

d)

Exercising too hard

3.

What are the signs/symptoms of shock?

a)

Blue lips, clamy skin, feeling nauseous

b)

A rash, vomiting, heavy breathy, screaming

c)

Blue lips, blue finger tips, blue nose, cold skin, and a slow heart rate

d)

Blue lips, clamy skin, irregular breathing, feeling nauseous or vomiting, confusion.

4.

True or false shock can be life threatening?

a)

True

b)

False

c)

Sometimes

d)

Only if they have a heart condition

5.
You've got a pt. in shock, you're going to give a fluid bolus.
a)
20ml/kg bolus targeting a systolic pressure around 90
b)
10ml/kg bolus targeting a systolic pressure around 90
6.
The most common cause of cardiogenic shock
a)
Sepsis
b)
PE
c)
Heart Attack
d)
Congestive Heart Failure
7.
Critical elements of running a cardiac arrest include:
a)
Early administration of epi
b)
Successful intubation
c)
Rapid transportation
d)
Clear and effective code leader
8.
Hyperventilation of patients in cardiac arrest
a)
Is in some cases indicated
b)
Reduces coronary blood flow
c)
is not a big deal
d)
What's hyperventilation?
9.
Which one of the following is not typically a sign of cardiogenic shock?
a)
pedal edema
b)
pulmonary edema
c)
hypotension
d)
tachycardia
10.
Cardiac output is a function of:
a)
Stroke volume and heart rate
b)
Tidal volume and heart rate
c)
Ejection fraction and heart rate
d)
Stroke volume and ejection fraction
11.
The force or resistance against which the heart pumps is called:
a)
Preload
b)
Blood pressure
c)
Afterload
d)
Systemic vascular resistance
12.
Incomplete glucose breakdown leads to an accumulation of:
a)
Lactic acid
b)
Pyruvic acid
c)
Bicarbonate 
d)
Carbonic acid
13.
Anaerobic metabolism is the process in which
a)
the cells produce carbon dioxide and water.
b)
adequate amounts of oxygen reach the cell level
c)
the adrenal glands fail to release catecholamines.
d)
inefficient cellular metabolism produces lactic acid.
14.
BP: 78/62 HR:128 RR: 22
a)
Compensated shock
b)
Irreversible shock
c)
Decompensated shock
d)
None of these
15.

What are the 3 pathophysiological mechanism of hypotension

a)

Decreased Preload

b)

Hypoventilation

c)

Decreased cardiac function

d)

Decreased systemic vascular resistance

16.

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

17.

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

a)

Anemia

b)

GDV

c)

Acute hemorrhage

d)

Dilated cardiomyopathy

18.

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

a)

TRUE

b)

FALSE

19.

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

20.

A decrease in systemic vascular resistance can be treated with:

a)

vasopressors

b)

positive inotropes

c)

ace-inhibitors

d)

intravenous fluid

21.

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

a)

FALSE

b)

TRUE

22.

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

23.

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

24.

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

a)

TRUE

b)

FALSE

25.

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

a)

TRUE

b)

FALSE

26.

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

27.

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

28.

Defined as body's ability to use oxygen, nutrients and to get rid of carbon dioxide and waste.

a)

Perfusion

b)

Hypoperfusion

c)

Hypoxia

d)

Homeostasis

29.

Shock that occurs because of some type of infection.

a)

Cardiogenic

b)

Hemorrhagic

c)

Septic

d)

Anaphylactic

30.

Type of shock that occurs because of some type of severe allergic reaction.

a)

Anaphylactic

b)

Septic

c)

Cardiogenic

d)

Hemorrhagic

31.

Which of the following is not considered part of the circulatory system?

a)

Heart

b)

Blood vessels

c)

Blood

d)

Kidneys

32.

Which stage of shock usually occurs days or weeks later and results in organ failure.

a)

Hemorrhagic

b)

Compensated

c)

Decompensated

d)

Irreversible

33.

Type of shock that occurs due to major blood loss.

a)

Hemorrhagic

b)

Cardiogenic

c)

Anaphylactic

d)

Septic

34.

A patient in cardiogenic shock is having a ________ problem?

a)

Pump

b)

Container

c)

Content

35.

A patient with septic shock is having a _________ problem?

a)

Pump

b)

Container

c)

Content

36.

A balance of all systems in the body is known as:

a)

Hemodynamics

b)

Homeostasis

c)

V:Q match

d)

Perfusion

37.

The circulation of blood within an organ or tissue in adequate amounts to meet the cells' current needs for oxygen, nutrients, and waste removal:

a)

Oxygenation

b)

Ventilation

c)

Perfusion

d)

Diffusion

38.

What is "shock"?

a)

A state of being emotionally overwhelmed

b)

When a person sees blood and passes out

c)

When the nervous system is not functioning correctly

d)

A state of collapse and failure of the cardiovascular system

39.

Precontraction pressure, made up of the volume of blood flowing into the heart, is known as:

a)

Preload

b)

Afterload

c)

Prepump

d)

Prevolume

40.

The force or resistance against which the heart pumps is known as:

a)

Preload

b)

Afterload

c)

Blood pressure

d)

Systemic vascular resistance

41.

Which of the following is NOT a type of Distributive Shock?

a)

Hemorrhagic Shock

b)

Septic Shock

c)

Neurogenic Shock

d)

Anaphylactic Shock

42.

Shock is caused by all of the following EXCEPT:

a)

Pump Failure

b)

Unconsciousness

c)

Low Fluid Volume

d)

Poor Vessel Function

43.

Mechanical obstruction which prevents an adequate volume of blood to fill the heart chambers:

a)

Cardiogenic Shock

b)

Obstructive Shock

c)

Distributive Shock

d)

Heart Failure

44.

Which of the following is NOT a common cause of Obstructive Shock?

a)

Pericardial Effusion

b)

Cardiac Tamponade

c)

Spinal Cord Injury

d)

Pulmonary Embolism

45.

Psychogenic shock (fainting/syncope) falls under the umbrella of what type of shock?

a)

Hypovolemic Shock

b)

Cardiogenic Shock

c)

Distributive Shock

d)

Obstructive Shock

46.

The difference between the Systolic BP and the Diastolic BP is called:

a)

Mean Arterial Pressure

b)

Pulse Pressure

c)

Pulsus Paradoxus

d)

Central Venous Pressure

47.

An accumulation of air in the pleural space that eventually compresses the heart and great vessels:

a)

Tension Pneumothorax

b)

Cardiac Tamponade

c)

Pneumomediastinum

d)

Pulmonary Edema

48.

What type of shock affects the nervous system and impairs the body's ability to regulate body temperature and can result in hypothermia?

a)

Hypovolemic Shock

b)

Obstructive Shock

c)

Anaphylactic Shock

d)

Neurogenic Shock

49.

This type of shock is caused by a severe infection, causes damage to vessel walls, and plasma loss:

a)

Septic Shock

b)

Anaphylactic Shock

c)

Psychogenic Shock

d)

Hypovolemic Shock

50.

As shock progresses, which vital sign change represents the transition from Compensated Shock to Decompensated Shock?

a)

Elevated Heart Rate

b)

Dropping Blood Pressure

c)

Rapid/Shallow Breathing

d)

Narrowing Pulse Pressure

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