FP-C Shock Management and Resuscitation

Question 1

A patient presents with Beck's triad (hypotension, muffled heart sounds, jugular venous distension). Which type of shock does this suggest?

Accepted Answer

Obstructive shock from cardiac tamponade

Answer

Cardiogenic shock from MI

Answer

Distributive shock from sepsis

Answer

Hypovolemic shock

Question 2

Which hemodynamic profile is characteristic of distributive (septic) shock?

Accepted Answer

High CO, low SVR, low MAP

Answer

Low CO, high SVR, low MAP

Answer

Low CO, low SVR, low MAP

Answer

High CO, high SVR, high MAP

Question 3

A trauma patient with suspected hemorrhagic shock is unresponsive to 2L of crystalloid. What resuscitation strategy is preferred in modern flight medicine?

Accepted Answer

1:1:1 ratio of packed red cells, fresh frozen plasma, and platelets

Answer

Continue crystalloid at 500 mL boluses

Answer

Colloid infusion with albumin

Answer

Vasopressor initiation with norepinephrine

Question 4

In neurogenic shock following spinal cord injury, which hemodynamic combination is expected?

Accepted Answer

Hypotension with bradycardia

Answer

Hypotension with tachycardia

Answer

Hypertension with bradycardia

Answer

Hypertension with tachycardia

Question 5

When treating refractory septic shock with vasopressors, which agent is the FIRST-LINE choice per Surviving Sepsis guidelines?

Accepted Answer

Norepinephrine

Answer

Epinephrine

Answer

Vasopressin

Answer

Dopamine

Question 6

A patient in hypovolemic shock has a systolic BP of 70 mmHg and is not responding to initial fluid resuscitation. What permissive hypotension target is acceptable in penetrating trauma without TBI?

Accepted Answer

Systolic BP 80-90 mmHg

Answer

Systolic BP 100-110 mmHg

Answer

MAP 65-70 mmHg

Answer

Systolic BP 60-70 mmHg