FP-C Shock Management and Resuscitation 2

Question 1

Which finding on physical exam is MOST consistent with early (Class I) hemorrhagic shock?

Accepted Answer

Anxiety, normal BP, pulse less than 100 bpm

Answer

Class I hemorrhagic shock (less than 15% blood loss) presents with minimal changes: slight anxiety, normal BP, and HR under 100 bpm.

Question 2

A post-cardiac arrest patient is being transported. Which target MAP should be maintained to optimize cerebral perfusion per post-ROSC care guidelines?

Accepted Answer

≥65 mmHg

Answer

Post-ROSC guidelines recommend maintaining MAP ≥65 mmHg to optimize systemic and cerebral perfusion pressure during transport.

Question 3

A patient in cardiogenic shock has cool extremities, pulmonary edema, and a BP of 78/50 mmHg. Which combination of interventions is most appropriate?

Accepted Answer

Vasopressor support, judicious fluid bolus if hypovolemic component, and consider inotrope

Answer

Cardiogenic shock management centers on vasopressors (norepinephrine or dopamine) to restore perfusion pressure, with inotropes (dobutamine) to improve cardiac output, while avoiding excessive fluid.

Question 4

Which lab value is the most sensitive indicator of inadequate tissue perfusion and guides resuscitation efficacy in shock?

Accepted Answer

Serum lactate

Answer

Serum lactate is the most sensitive and widely used marker of tissue hypoperfusion; elevated levels indicate anaerobic metabolism from inadequate oxygen delivery.

Question 5

An anaphylactic patient remains hypotensive after 2 doses of IM epinephrine and 2L IV fluid. What is the next pharmacological intervention?

Accepted Answer

Epinephrine IV infusion at 0.1-0.5 mcg/kg/min

Answer

Refractory anaphylactic shock unresponsive to IM epinephrine requires IV epinephrine infusion for continuous vasopressor and bronchodilatory support.

FP-C - Flight Paramedic-Certification Practice Test

FP-C - Flight Paramedic-Certification Practice Test

FP-C Shock Management and Resuscitation 2