Shock And Bleeding Flashcards

1
Q

In addition to massive bleeding, injury to a carotid artery would most likely cause

A. Hemiparalysis

B. Air embolism

C. Severe bradycardia

D. Cerebral hypoxia

A

D. Cerebral hypoxia

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2
Q

Class three shock is shock resulting from a blood loss of

A. 10-15%

B.15-25%

C.30-40%

D.above 40%

A

C. 30-40%

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3
Q

A Myocardial infarction can lead to

A. Cardiogenic shock

B. Hypovolaemic shock

C. Neurogenic shock

D. Psycogenic shock

A

A. Cardiogenic shock

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4
Q

Hypoperfusion refers to

A. Extreme cold

B. Extreme heat

C. Inadequate circulation

D. Mental status

A

C. Inadequate circulation

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5
Q

A weakened section of an arterial wall is a

A. Aneurysm

B. Embolism

C. Thrombus

D. Stent

A

A. Aneurysm

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6
Q

An evisceration can be described as ____________

A. A laceration with a flap of tissue

B. An avulsion with long bone exposure

C. The top layer of skin being scraped away

D. A protrusion of an interanl organ from a wound

A

D. A protrusion of an interanl organ from a wound

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7
Q

A vigorously pulsating mass in the abdomen, revealed by palpation, is indicative of

A. Duodenal ulcer

B. Hiatus hernia

C. Gastric carcinoma

D. Aortic aneurysm

A

D. Aortic aneurysm

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8
Q

Which of the following is classed as distributive shock

A. Cardiogenic, septic, hypovolaemic

B. Cardiogenic, septic, Neurogenic

C. Septic, Neurogenic, Hemorrhagic

D. Septic, Anaphylactic, Neurogenic

A

Septic, Anaphylactic, Neurogenic

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9
Q

Pruitis and urticaria are associated with which shock?

A. Cardiogenic

B. Anaphylactic

C. Hypovolaemic

D. Neurogenic

A

B. Anaphylactic

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10
Q

The blood vessels that play the most important role in the regulation of blood flow to a tissue and blood pressure are the

A. Capillaries

B. Arterioles

C. Veins

D. Arteries

A

B. Arterioles

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11
Q

A carotid palpable pulse would give an estimated systolic blood pressure of

A. 60mmhg

B. 90 mmhg

C. 80mmhg

D. 70mmhg

A

C. 80mmhg

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12
Q

When blood volume is lost, the body’s response is mediated through the baroreceptor reflex, which controls the

A. Amount of oxygen consumed by the brain

B. amount of blood flow to the coronary arteries

C. Body temperature

D. Heart rate and blood pressure

A

D. Heart rate and blood pressure

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13
Q

Baroreceptors are found in the

A. Coronary arteries and pulmonary veins

B. Aortic arch and carotid sinus

C. Aortic arch and coronary arteries

D. Coronary arteries and carotid bodies

A

B. Aortic arch and carotid sinus

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14
Q

Hypovolaemic shock will occur in

A. Severe head injury

B. Septicaemia

C. Ruptured spleen

D. Myocardial infarction

A

C. Ruptured spleen

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15
Q

Becks triad is

A. Low BP, Muffled heart sounds, and midline trachea

B. Distended neck veins, Muffled heart sounds, Low Bp

C. Muffled heart sounds, Tracheal deviation and distened necl veins

D. High Bp, Distended neck veins, muffled heart sounds

A

B. Distended neck veins, Muffled heart sounds, Low Bp

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16
Q

During infusion which would make you think suspect circulatory overload

A. Renal shutdown

B. Dyspnoea

C. Pain at site of infusion

D. Ankle oedema

A

B. Dyspnoea

17
Q

A patient in class 4 shock would exhibit the following signs

A. HR > 140 SYS <60mmhg

B.HR > 140 SYS <70mmhg

C. HR < 140 SYS <60mmhg

D. HR < 140 SYS <70mmhg

A

B.HR > 140 SYS <70mmhg

18
Q

When trying to stop bleeding from a knife wound. Which of the following is the best method

A. Direct pressure

B. Longitudinal pressure

C. Tourniquet

D. Indirect pressure

A

A. Direct pressure

19
Q

When the arterioles contract

A. The skin becomes flushed

B. The skin becomes pale

C. Heat is lost from the body

D. Capillary refill time decreases

A

B. The skin becomes pale

20
Q

During hypoperfusion the spleen

A. Manufactures new red blood cells and releases them into the circulation

B. Releases red blood cells to augment the bloods oxygen carrying capacity

C. Removes red blood cells that were damaged by low oxygen levels

D. Converts gycogen to glucose to facilitate the body’s ability to compensate

A

C. Removes red blood cells that were damaged by low oxygen levels

21
Q

The medical term for swelling filled with blood is

A. Haematoma

B. Hyphema

C. Haematuria

D. Haemorrhage

A

A. Haematoma

22
Q

Stages of Shock Flash card

A
  1. 15% Blood loss = 3/4L - Compensated
  2. 30% Blood loss = 1.5L - Compensated
  3. 40% Blood loss = 2.5L - Uncompensated
  4. > 40% Blood loss = > 2.5L - Irreversible