ATLS Shock Assessment and Management 3

Question 1

A patient not responding to 2 units PRBC and 2 units FFP. Lactate 8, base deficit -12. What does this indicate?

Accepted Answer

Ongoing hemorrhage requiring source control

Answer

Adequate resuscitation

Answer

Septic shock

Answer

Incompatible blood products

Question 2

What is the primary mechanism of death in untreated hemorrhagic shock?

Accepted Answer

Irreversible cellular ischemia and multi-organ failure

Answer

Respiratory failure from ARDS

Answer

Cardiac arrhythmia

Answer

Disseminated intravascular coagulation

Question 3

Tranexamic acid in trauma is most effective within what time frame?

Accepted Answer

3 hours

Answer

1 hour

Answer

6 hours

Answer

12 hours

Question 4

A trauma patient has narrow pulse pressure, tachycardia, and flat neck veins. Which shock type?

Accepted Answer

Hypovolemic shock

Answer

Cardiac tamponade

Answer

Neurogenic shock

Answer

Tension pneumothorax

Question 5

What is the role of vasopressors in initial hemorrhagic shock management?

Accepted Answer

Used only after adequate volume resuscitation and hemorrhage control

Answer

First-line treatment

Answer

Contraindicated

Answer

Preferred over blood products

Question 6

Which lab value best reflects severity of tissue hypoperfusion in hemorrhagic shock?

Accepted Answer

Serum lactate

Answer

Hemoglobin level

Answer

Prothrombin time

Answer

Serum potassium