WorksheetsPractice Quiz
Total questions: 5
Worksheet time: 5mins
A 58-year-old man presented to the emergency room complaining of shortness of breath and unconsciousness for the past 2 hours. According to his family, the patient complained of coughing, fever, and shortness of breath that had worsened over the past 3 days. The primary survey revealed: Airway: Clear, Breathing, Spontaneous breathing, Appearance of accessory muscles, RR 30x/min, SpO2 92% with room air, Breath sounds with rhonchi in the right basal lung area, Circulation: Cold perfusion, CRT 2 seconds, HR 117x/min, BP 87/56 mmHg, Disability: Responsive to verbal, Exposure Temperature 38.3 Celsius.
What type of circulatory disorder is present in this case?
Septic shock
Cardiogenic shock
Hypovolemia Shock
Obstructive shock
A 28-year-old man was brought to the emergency room by his co-workers after falling from a height. The patient is a construction worker. Physical examination revealed alert consciousness (compos mentis), a respiratory rate of 14 breaths per minute with an abdominal breathing pattern, SpO2 95% on room air, a pulse rate of 54 beats per minute, blood pressure 90/50 mmHg, and warm extremities. The patient had difficulty moving both arms and legs. There was no active or internal bleeding.
What is the underlying pathophysiology of the circulatory disturbance in this case?
Decreased preload due to obstruction
An imbalance between the tone of the sympathetic and parasympathetic nervous systems
A decrease in the heart's function as a pump for the body
A decrease in blood volume, resulting in decreased cardiac output
A 23-year-old man was brought to the emergency room by his friend due to a loss of consciousness after being hit by a truck in a traffic accident. The patient was not wearing a helmet. Physical examination revealed a blood pressure of 155/90 mmHg, a pulse rate of 72 beats/minute, and a weak pulse. A respiratory rate of 15 breaths/minute was irregular, and his temperature was normal. Snoring was heard, and a visible lesion was present on the left temple. Raccoon eyes (positive), Battle's sign (positive), and bloody rhinorrhea were present.
What airway problems are present in this case?
complete airway obstruction by the base of the tongue
partial airway obstruction by blood
partial airway obstruction by laryngeal swelling
partial airway obstruction by the base of the tongue
A 26-year-old male is resuscitated with a blood transfusion after a motor vehicle collision that
was complicated by a fractured pelvis. A few hours later, the patient becomes febrile, hypotensive
with a normal CVP, and oliguric. Upon examination, the patient is found to be bleeding from the
NG tube and IV sites. Which of the following is the most likely diagnosis?
Hemorrhagic shock
Acute adrenal insufficiency
Fat embolism syndrome
Transfusion reaction
A patient involved in a road accident is brought to the emergency department in an
unconscious state. On arrival, her vitals show a temperature of 96.4 degrees Fahrenheit, a
respiration rate of 24 breaths per minute, a heart rate of 140 beats per minute, and a blood
pressure of 80/40 mm Hg. She is cold, shivering, and perspiring profusely. She has bilateral reactive
pupils but she does not respond to pain. On physical examination, she has no obvious sign of
external bleeding.
Which of the following cannot be the cause of hypotension in this patient?
Pelvic fracture
Fracture of femur
Intracranial hemorrhage
Hemothorax
