1.
Which of the following statements BEST describes the term "shock"?
A.
A decrease in the supply of oxygen to the brain
B.
Decreased circulation of blood within the venous system
C.
Cardiovascular collapse leading to inadequate circulation
D.
A decreased function of the respiratory system causing hypoxia
2.
The first step in treating a patient with hypovolemic shock is to:
A.
follow BSI techniques.
B.
administer epinephrine.
C.
elevate the patient's legs.
D.
transport the patient promptly
3.
During an assault, a 17-year-old boy was kicked multiple times in the abdomen. He presents with a rigid, tender abdomen, a heart rate of 130 beats/min and weak, and respirations of 32 breaths/min and shallow. This patient should be managed for:
A.
hypovolemic shock.
B.
respiratory shock.
C.
a lacerated liver.
D.
a ruptured spleen.
4.
A patient who is in compensated shock would be expected to exhibit all of the following signs and symptoms, EXCEPT:
A.
pale, cool, clammy skin.
B.
a feeling of impending doom.
C.
thready or absent peripheral pulses.
D.
an alteration in mental status.
5.
What type of shock can result from the loss of 2 pt of blood in a 30-year-old man of average weight and height?
A.
Septic
B.
Metabolic
C.
Cardiogenic
D.
Hypovolemic
6.
A patient who has severe traumatic injuries should be treated for shock:
A.
after all other problems are treated.
B.
as soon as you suspect that the condition exists.
C.
only when all signs and symptoms of shock appear.
D.
only when a pattern of signs and symptoms develops.
7.
A 39-year-old man presents cool and clammy skin, a blood pressure of 88/60 mm Hg, and a fever of 104.5°F. He has been fighting a bacterial infection for 3 days. Which of the following types of shock do you suspect?
A.
Hypovolemic shock
B.
Cardiogenic shock
C.
Psychogenic shock
D.
Septic shock
8.
You are called for a 56-year-old man whose wife is having difficulty keeping him awake. He is displaying signs of shock, including tachycardia and diaphoresis. The patient's wife tells you that her husband had an episode of severe chest pain about 2 days ago. What additional sign would tend to accompany the particular type of shock that this patient is experiencing?
A.
Hypotension
B.
Fluid in the lungs
C.
Pallor or cyanosis
D.
Increased respirations
9.
Which of the following findings is commonly associated with anaphylactic shock?
A.
Epistaxis
B.
Dehydration
C.
Burning skin
D.
Cool, clammy skin
10.
The EMT-B's objective in treating a patient in anaphylactic shock is to:
A.
restore lost fluids and provide supplemental oxygen.
B.
administer nitroglycerin intramuscularly and transporting.
C.
raise the blood pressure and improve ventilation.
D.
relieve the itching associated with the urticaria.
11.
What type of shock results from an injury to or a failure of the nervous system?
A.
Neurogenic
B.
Psychogenic
C.
Anaphylatic
D.
Hemorrhagic
12.
In managing a patient in shock as a result of trauma, which of the following treatments would have the lowest priority?
A.
Administering 100% oxygen
B.
Controlling external bleeding
C.
Rapidly transporting the patient
D.
Splinting fractures and dislocations
13.
Psychogenic shock is associated with which of the following physiologic effects?
A.
Permanent localized vasodilation
B.
Temporary generalized vasoconstriction
C.
Temporary generalized vasodilation
D.
Permanent generalized vasodilation
14.
Elevating the legs of a patient who is in shock will produce which of the following effects?
A.
It causes the blood vessels to constrict, thereby raising the blood pressure.
B.
It makes the patient more comfortable, which will decrease oxygen demand.
C.
It returns warmed blood from the legs to the body, preventing hypothermia.
D.
It allows blood in the lower extremities to more rapidly return to the heart.
15.
The PASG should only be used with medical control authorization. If used improperly, the MOST significant problem the PASG can cause is:
A.
increased bleeding from chest injuries.
B.
decreased circulation to the lower extremities.
C.
increased pressure on vital abdominal organs.
D.
compression of the pelvis, causing a fracture.
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