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Shock, Surgical Infections, Surviving Sepsis Guidelines PRE test

Total questions: 13

Worksheet time: 13mins

Name
Class
Date
1.

What kind of shock presents with increased cardiac index and venous capacitance but decreased systemic vascular resistance?

a)

Hypovolemic

b)

Septic

c)

Cardiogenic

d)

Neurogenic

2.

What kind of shock presents with decreased cardiac index but increased systemic vascular resistance and CVP?

a)

Hypovolemic

b)

Septic

c)

Cardiogenic

d)

Neurogenic

3.

Give 1 pro inflammatory mediators of shock

(a)  

4.

Give 1 ANTI inflammatory mediator of shock

(a)  

5.

65/M known hypertensive came in 1 hour post injury (MVA). Upon arrival at the ER, HR 87 BP 90/70, no desaturations, GCS 14 (E4V4M6). What is the class of hemorrhagic shock?

a)

I

b)

II

c)

III

d)

IV

6.

37/F came in 30min post injury (MVA). Upon arrival at the ER, HR 120 BP 100/70, no desaturations, GCS 15 (E4V5M6). What is the class of hemorrhagic shock?

a)

I

b)

II

c)

III

d)

IV

7.

What is the indirect marker of tissue hypoperfusion, cellular O2 debt, and the severity of hemorrhagic shock?

(a)  

8.

What is the recommended target SBP range in hypotensive resuscitation in a patient with penetrating injury?

(a)  

9.

55/F CKD patient on peritoneal dialysis is presenting with fever and generalized abdominal pain. On PE, (+) flabby abdomen, normoactive bowel sounds, dull on percussion, with diffuse tenderness. What is your diagnosis?

(a)  

10.

Classify the class of wound:
EL for complete gut obstruction secondary to colonic mass

a)

Clean

b)

Clean/ Contaminated

c)

Contaminated

d)

Dirty

11.

Classify the class of wound:
Laparoscopic Cholecystectomy

a)

Clean

b)

Clean/ Contaminated

c)

Contaminated

d)

Dirty

12.

Classify the class of wound:
EL for Sigmoid Diverticulitis Hinchey 3

a)

Clean

b)

Clean/ Contaminated

c)

Contaminated

d)

Dirty

13.

Classify the class of wound:
ED thoracotomy

a)

Clean

b)

Clean/ Contaminated

c)

Contaminated

d)

Dirty