Download Review Questions, Chapter 33, Shock and Multisystem Organ

Review Questions, Chapter 33, Shock and Multisystem Organ Dysfunction Syndrome
1. Compensatory mechanisms in response to shock states result in
a. decreased urine output.
b. vasodilation of blood vessels.
c. decreased heart rate.
d. decreased cardiac output.
2. Which of the following classifications best describes septic shock?
a. Hypovolemic shock
b. Cardiogenic shock
c. Vasodilatory shock
d. Anaphylactic shock
3. Which of the following is not a common pathophysiological manifestation seen in patients
with hypovolemic shock?
a. Altered mentation
b. Rapid and deep respirations
c. Cool and clammy skin
d. Bradycardia
4. Which of the following is a clinical manifestation of cardiogenic shock?
a. Pulmonary artery wedge pressure less than 18 mm Hg
b. Pulmonary artery wedge pressure greater than 18 mm Hg
c. Cardiac index greater than 2.2 L/minute/m2
d. Systemic vascular resistance less than 1,000 dynes/second/cm5
5. What is the initial therapy of choice for the treatment of anaphylactic shock?
a. Epinephrine
b. Rapid infusion of normal saline
c. Dobutamine
d. Norepinephrine
6. Which of the following drugs is given in septic shock to reestablish homeostasis of
inflammatory coagulation?
a. Aspirin
b. Tissue plasminogen activator (t-PA)
c. Streptokinase
d. Drotrecogin alfa (activated) (Xigris)
7. Which of the following patients meets the criteria to have MODS?
a. A 65-year-old man with chronic obstructive pulmonary disease (COPD) who requires
mechanical ventilation and enteral tube feedings
b. A 42-year-old woman with end-stage renal disease who requires hemodialysis every day
c. A 28-year-old man with septic shock who requires continuous renal replacement therapy
and mechanical ventilation
d. A 70-year-old man with diabetes who recently had coronary artery bypass surgery