Historical Background

Question 1

Most common type of shock in surgical patients

Answer 1

HaNSCOT
Hypovolemic 
Neurogenic 
SEPTIC
Cardiogenic
Obstructive
Traumatic

Question 2

Cause of hypovolemic shock from loss of interstitial fluid

Answer 2

Bowel obstruction

Question 3

Shock caused by decreased resistance within capacitance vessels

Answer 3

Vasogenic shock

Question 4

Shock from vasodilation due to acute loss of sympathetic tone

Answer 4

Neurogenic shock

Question 5

Shock resulting from failure of the heart as a pump

Answer 5

Cardiogenic shock

Question 6

Current classification of shock

Answer 6

HaNSCOT
Hypovolemic 
Neurogenic 
SEPTIC
Cardiogenic
ObstructiveObstructivet

Question 7

Cardiogenic shock from mechanical impediment to circulation leading to depressed cardiac output rather than primary cardiac failure

Answer 7

Obstructive shock

Question 8

Shock from inflammation triggered by soft tissue and bone injury

Answer 8

Traumatic shock

Question 9

What type of shock happens during pulmonary embolism

Answer 9

Obstructive shock

Question 10

Core principles in management of critically ill or injured patient

Answer 10

a. definitive control of airway
b. control of active hemorrhage
c. volume resuscitation
d. recgnition and adequate correction of hypoperfusion
e. excessive fluid resuscitation may exacerbate bleeding