AMLS Shock and Hemodynamic Instability 2

Question 1

What is the target mean arterial pressure (MAP) in septic shock management per Surviving Sepsis guidelines?

Accepted Answer

65 mmHg or greater

Answer

50 mmHg or greater

Answer

80 mmHg or greater

Answer

90 mmHg or greater

Question 2

Which class of hemorrhagic shock (using ATLS classification) first shows altered mental status?

Accepted Answer

Class III (30–40% blood loss)

Answer

Class I (up to 15% blood loss)

Answer

Class II (15–30% blood loss)

Answer

Class IV (>40% blood loss)

Question 3

A septic patient with a lactate of 4.2 mmol/L and hypotension despite 30 mL/kg IV fluids should receive which additional intervention?

Accepted Answer

Initiate vasopressors (norepinephrine)

Answer

Additional 30 mL/kg fluid bolus

Answer

Empiric antifungal therapy

Answer

Sodium bicarbonate infusion

Question 4

Pulsus paradoxus greater than 10 mmHg is a classic finding in which condition?

Accepted Answer

Cardiac tamponade

Answer

Hypertensive emergency

Answer

Tension pneumothorax

Answer

Aortic stenosis

Question 5

Which finding is most suggestive of obstructive shock due to massive pulmonary embolism?

Accepted Answer

Right heart strain on ECG with hypoxia and tachycardia

Answer

Diffuse ST elevation and bradycardia

Answer

ST elevation in inferior leads

Answer

Peaked T waves with wide QRS

Question 6

Which vasopressor is the recommended first-line agent for septic shock?

Accepted Answer

Norepinephrine

Answer

Dopamine

Answer

Vasopressin

Answer

Epinephrine