AMLS Shock and Hemodynamic Instability

Question 1

Which type of shock is characterized by decreased SVR (systemic vascular resistance) and increased cardiac output?

Accepted Answer

Distributive shock

Answer

Cardiogenic shock

Answer

Obstructive shock

Answer

Hypovolemic shock

Question 2

A patient presents with hypotension, JVD, and absent breath sounds on the left. What is the most likely diagnosis?

Accepted Answer

Tension pneumothorax

Answer

Massive hemothorax

Answer

Cardiac tamponade

Answer

Open pneumothorax

Question 3

Which is the most sensitive early indicator of hypovolemic shock in adults?

Accepted Answer

Tachycardia

Answer

Hypotension

Answer

Altered mental status

Answer

Decreased urine output

Question 4

In anaphylactic shock, which is the first-line treatment?

Accepted Answer

Epinephrine 0.3 mg IM in the anterolateral thigh

Answer

Diphenhydramine 50 mg IV

Answer

Normal saline 2 L IV bolus

Answer

Methylprednisolone 125 mg IV

Question 5

What hemodynamic profile characterizes neurogenic shock following spinal cord injury?

Accepted Answer

Hypotension with bradycardia and warm skin

Answer

Hypotension with tachycardia and cool skin

Answer

Hypertension with bradycardia

Answer

Hypotension with normal heart rate

Question 6

Which crystalloid is considered the preferred initial resuscitation fluid in hemorrhagic shock?

Accepted Answer

Normal saline (0.9% NaCl)

Answer

5% dextrose in water (D5W)

Answer

Half-normal saline (0.45% NaCl)

Answer

3% hypertonic saline