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EMT Shock (Hypoperfusion) Quiz

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gelliebeen's version from 2012-02-29 20:59

Quiz

Question Answer
Capillary sphincters are:circular muscular walls that regulate blood flow through the capillaries
In an acute injury setting, neurogenic shock is commonly accompanied by:hypothermia
Clinical signs of compensated shock include all of the following except: a) restlessness or anxiety b) absent peripheral pulses c) cool and clammy skin d) rapid, shallow breathingb) absent peripheral pulses
You are transporting a 33-year-old male who was involved in a motor-vehicle crash. You have addressed all immediate and potentially life-threatening conditions and have stabilized his condition with the appropriate treatment. With an estimated time of arrival at the hospital of 20 minutes, you should:perform a detailed physical exam
You are dispatched to a residence for a 40-year-old female who fainted. Upon your arrival, the patient is conscious and alert and states that she is fine. Her husband tells you that she fainted after recieving news that her sister was killed in a car crash. You offer oxygen to the patient, but she refuses to accept it. At this point, your primary concern should be to:determine if she was injured when she fainted
A 45-year-old male presents with severe vomiting and diarrhea of 3 days' duration. He is confused, diaphoretic, and has a weak and rapid radial pulse. His blood pressure is 88/50 mm Hg. After applying 100% supplemental oxygen, you should:prepare for immediate transport.
One of the primary waste products of normal cellular metabolism that must be removed from the body by the lungs is:carbon dioxide.
Which of the following patients is in decompensated shock? a) A 28-year-old female with pale skin and rapid, shallow respirations b) A 32-year-old male with anxiety and a systolic BP of 110 mm Hg c) A 23-year-old restless male with cool, clammy skin and tachycardia d) A 20-year-old female with absent radial pulses and dilated pupilsd) A 20-year-old female with absent radial pulses and dilated pupils
When the body senses a state of hypoperfusion, the sympathetic nervous system releases epinephrine, the effects of which include:tachycardia
Which of the following MOST accurately describes septic shock? a) Widespread vasoconstriction and plasma loss due to a severe viral infection b) Bacterial damage to the vessel wall, leaking blood vessels, and vasodilation c) Bacterial infection of the nervous system with widespread vasodilation d) Viral infection of the blood vessels, vascular damage, and vasoconstrictionb) Bacterial damage to the vessel wall, leaking blood vessels, and vasodilation
Hypotension in a child with blunt or penetrating trauma is particularly significant because:it often indicates the loss of half of his or her blood volume.
You respond to a residence for a patient with a severe leg injury following an accident with a chainsaw. When you arrive, you find the patient, a 44-year-old male, lying supine in the backyard. He has a partial amputation of his right lower leg that is actively bleeding. The patient is conscious and breathing adequately; however, he is restless and his skin is diaphoretic. You should:apply direct pressure to the wound.
A 70-year-old female was recently discharged from the hospital following a total hip replacement. Today, she presents with an altered mental status, tachycardia, and a blood pressure of 100/64 mm Hg. Her skin is warm and moist. You should be MOST suspicious that she is experiencing:septic shock.
Hypovolemic shock caused by severe burns is the result of a loss of:plasma
Which of the following statements regarding anaphylactic shock is MOST correct? a) Anaphylactic shock is the result of immune system failure due to a toxic exposure b) Sensitized people will experience less severe reactions upon subsequent exposure c) Subsequent exposure following sensitization often produces more severe reactions d) Anaphylactic shock occurs immediately after a person is sensitized to an allergenc) Subsequent exposure following sensitization often produces more severe reactions
A 19-year-old male was stung multiple times by fire ants. He is experiencing obvious signs and symptoms of anaphylactic shock. You administer 100% oxygen and give him epinephrine via subcutaneous injection. Upon reassessment, you determine that his condition has not improved. You should:repeat the epinephrine injection after consulting with medical control.
A construction worker fell approximately 30 feet. He is semiconscious with rapid, shallow respirations. Further assessment reveals deformity to the thoracic region of his spine. His blood pressure is 70/50 mm Hg, his pulse is 66 beats/min and weak, and his skin is warm and dry. In addition to spinal immobilization and rapid transport, the MOST appropriate treatment for this patient includes:assisted ventilation, thermal management, and elevation of the lower extremities.
Which of the following conditions has the GREATEST potential to be accompanied by internal bleeding? a) A heart attack b) Severe infection c) Spinal injury d) Anaphylaxisc) Spinal injury
A 25-year-old unrestrained female struck the steering wheel with her chest when her car hit a tree while traveling at a high rate of speed. She is experiencing signs and symptoms of shock, which you suspect are the result of intrathoracic bleeding. Which of the following interventions will provide this patient with the greatest chance for survival? a) 100% oxygen administration b) Full immobilization of her spine c) Rapid transport to a trauma center d) Applying and inflating the PASG c) Rapid transport to a trauma center
Shock is the result of:Hypoperfusion to the cells of the body
Patients develop septic shock secondary to:poor vessel function and severe volume loss.
When perfusion to the core of the body decreases:blood is shunted away from the skin
When assessing a patient with signs and symptoms of shock, it is MOST important to remember that:blood pressure may be the last measurable factor to change in shock.
In infants and children, a capillary refill time (CRT) that is greater than ___ seconds is a sign of poor peripheral perfusion.2
A 56-year-old male is found semiconscious by his wife. Your assessment reveals that his respirations are rapid and shallow, his pulse is rapid and irregular, and his blood pressure is low. The patient's wife states that he complained of left arm pain and nausea the day before, but would not allow her to call 9-1-1. The MOST likely cause of this patient's present condition is:cardiogenic hypoperfusion
Neurogenic shock occurs when:failure of the nervous system causes widespread vasodilation.
A 27-year-old male was stabbed in the chest during a disagreement at a poker game. As you approach him, you see that a knife is impaled in his chest. Before you make physical contact with the patient, it is MOST important to:adhere to BSI precautions
Pulmonary edema and impaired ventilation occur during:cardiogenic shock
Which of the following would MOST likely result in hemorrhagic shock? a) Liver laceration b) Excessive sweating c) Severe vomiting d) Repeated diarrheaa) Liver laceration
memorize

Vocab

Question Answer
Severe shock caused by an allergic reactionAnaphylactic shock
An unusual or exaggerated allergic reaction to foreign protein or other substancesAnaphylaxis
A swelling or enlargement of part of an artery, resulting from weakening of the arterial wallAneurysm
The part of the nervous system that regulates involuntary functions, such as heart rate, blood pressure, digestion, and sweatingAutonomic nervous system
Shock caused by inadequate function of the heart, or pump failureCardiogenic shock
The early stage of shock, in which the body can still compensate for blood lossCompensated shock
Bluish color of the skin resulting from poor oxygenation of the circulating bloodCyanosis
The late stage of shock when blood pressure is fallingDecompensated shock
Loss of water from the tissues of the bodyDehydration
The presence of abnormally large amounts of fluid between cells in body tissues, causing swelling of the affected areaEdema
A balance of all systems of the bodyHomeostasis
A condition in which the internal body temperature falls below 95°F (35°C), usually as a result of prolonged exposure to cool or freezing temperaturesHypothermia
Shock caused by fluid or blood lossHypovolemic shock
The final stage of shock, resulting in deathIrreversible shock
Circulatory failure caused by paralysis of the nerves that control the size of the blood vessels, leading to widespread dilation; seen in spinal cord injuriesNeurogenic shock
Circulation of blood within an organ or tissue in adequate amounts to meet the cells' current needsPerfusion
Shock caused by a sudden, temporary reduction in blood supply to the brain that causes fainting (syncope)Psychogenic shock
Developing a sensitivity to a substance that initially caused no allergic reactionSensitization
Shock caused by severe infection, usually a bacterial infectionSeptic shock
A condition in which the circulatory system fails to provide sufficient circulation to enable every body part to perform its function; also called hypoperfusionShock
Circular muscles that encircle and, by contracting, constrict a duct, tube, or openingSphincters
FaintingSyncope
Rapid heart rhythm, more than 100 beats/min.Tachycardia
Slow heart rate, less than 60 beats/min.Bradycardia
memorize

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