It's SHOCKING!

1. True or false. Hypoprofusion eventually leads to organ failure.

True

False

2. What is it called when all the tissues in the body are not being satiated with oxygen?

Hypothermia

Hypoglycemia

Hyperemia

Hypoprofusion

Hyperlipidemia

3. During anaerobic metabolism what is increased to create an acidotic state?

Uric acid

Oxygen

Lactic acid

Pyruvic acid

4. The cellular hypoxia causes a shift from to _ metabolism.

Anaerobic, aerobic

Active, passive

Aerobic, anaerobic

Passive, active

5. Which of the following is NOT a mechanism of shock.

Loss of fluid form the circulation

Destroying gram positive bacteremia

Pump failure of the heart

Severe gram negative bacteremia

6. What is another name for shock lung?

Chronic respiratory failure syndrome

Pneumonia

I'm clear, You're clear

Acute respiratory distress syndrome

7. Which of the following is an example of a major cause of shock in clinical practice?

External hemorrhage

Severe trauma

Large MI

Bacterial sepsis

All of the above

8. Which of the following is NOT involved in cardiogenic shock?

Loss of contractile elements

Pump failure

Arrhythmia

Hyper-contractile elements

Destruction of part of myocardium

9. Which of the following are causes of septic shock?

E. coli

Proteus serratia

Pseudomonas

A & B

All of the above

10. What does DIC stand for?

Disseminated internal clotting

Degenerative ileocecal cancer

Disseminated intravascular coagulation

Degenerative ischemia cepahlopathy

11. Which of the following is a characteristic of all three forms of shock?

Collapse of circulation and proportion between circulating blood volume and the vascular space.

Hypervolemia and bradycardia

Sufficient oxygen and nutrients to cells and tissues.

Collapse of circulation and a disproportion between the circulating blood volume and the vascular space.

12. True or false. the body is usually edematous (anasarca) with shock.

True

False

13. True or false. Shock is a state of hyperprofusion of tissues with blood.

True

False

14. What is currently the most common cause of death in ICUs?

Hypovolemic shock

Cardiogenic shock

Septic shock

The cafeteria food

15. Tissue hypoprofusion and the onset of worsening circulatory and metabolic imbalances (aka: acidosis), is representative of what stage?

Non-progressive

Progressive

Preliminary

Final

None of the above

16. _______ results from a loss of vascular tone and pooling of blood in dilated peripheral blood vessels.

Hyperlactemic shock

Hypoglycemic shock

Hypotonic shock

Hypothyroidism

Hyperprofusion

17. Which of the following is NOT involved in the irreversible stage of shock?

Brain exhibits ischemic encephalopathy

Distress

Unconciousness

Alkalosis

Acidosis

18. When the organs are congested with edema, the lungs may be how many times the normal weight?

1-2 times

2-6 times

They will be lighter than normal

2-3 times

19. Cellular injury is widespread, affecting all organs, especially the kidneys. This is an example of what stage of shock?

Preliminary

Irreversible

Non-progressive

Progressive

Both B &C

20. What are the changes in the lungs and kidneys due to shock?

The alveolar capillaries hyperprofuse and regenerate in the lungs, and urinary output increases due to stimulation of Parasympathetic Nervous System.

The kidneys decrease urinary output and the alveolar capillaries hyperprofuse.

The alveolar capillaries necrotize, and the renal cortical vessels decrease GFR which decrease renal output.

A&B

21. What is an endotoxin that is released that binds to WBCs causing a release of inflammatory mediators?

LDL

LSP

LSD

LPS

None of the above

22. Which stage of shock is when compensatory mechanism are activated and perfusion f vital organs is maintained.

Progressive stage

Irreversible stage

Nonprogressive stage

Preliminary stage

Stage right

23. Which of the following is a cause of hypotonic shock?

Bee sting

Being socked in the face

Spinal cord injury

None of the above

All of the above

24. Vasoconstriction of the renal blood vessels results in renal hypoperfusion and a decrease in GFR. This activates the RAS for conservation of fluid, increasing tha cardiac output and blood pressure. Which stage of shock does this represent?

Irreversible

Reversible

Final

Non progressive

Both B &D

25. Cardiac failure and the resultant hypoperfusion are initially compensated for by peripheral vasoconstriction. what stage of shock does this represent?

Irreversible

Non-progressive

Progressive

Preliminary

Final

26. A low pH dilating the arterioles and blood creates pooling in the microcirculation, which worsens the cardiac output. What is this condition called?

Metabolic alkalosis

Metabolic acidosis

Lactic acidosis

Uric acidosis

27. Which of the following is/are prominent features of shock pathology?

Dark intestines due to blood pooling

Swollen kidneys with a dark cortex

Edematous brain with flattening of gyri

Congested and enlarged liver

Anasarca

IT's Shocking!

1. True or false. Hypoprofusion eventually leads to organ failure.

2.

What first name or nickname would you like us to use?

2. What is it called when all the tissues in the body are not being satiated with oxygen?

3. During anaerobic metabolism what is increased to create an acidotic state?

4. The cellular hypoxia causes a shift from to _ metabolism.

5. Which of the following is NOT a mechanism of shock.

6. What is another name for shock lung?

7. Which of the following is an example of a major cause of shock in clinical practice?

8. Which of the following is NOT involved in cardiogenic shock?

9. Which of the following are causes of septic shock?

10. What does DIC stand for?

11. Which of the following is a characteristic of all three forms of shock?

12. True or false. the body is usually edematous (anasarca) with shock.

13. True or false. Shock is a state of hyperprofusion of tissues with blood.

14. What is currently the most common cause of death in ICUs?

15. Tissue hypoprofusion and the onset of worsening circulatory and metabolic imbalances (aka: acidosis), is representative of what stage?

16. _______ results from a loss of vascular tone and pooling of blood in dilated peripheral blood vessels.

17. Which of the following is NOT involved in the irreversible stage of shock?

18. When the organs are congested with edema, the lungs may be how many times the normal weight?

19. Cellular injury is widespread, affecting all organs, especially the kidneys. This is an example of what stage of shock?

20. What are the changes in the lungs and kidneys due to shock?

21. What is an endotoxin that is released that binds to WBCs causing a release of inflammatory mediators?

22. Which stage of shock is when compensatory mechanism are activated and perfusion f vital organs is maintained.

23. Which of the following is a cause of hypotonic shock?

24. Vasoconstriction of the renal blood vessels results in renal hypoperfusion and a decrease in GFR. This activates the RAS for conservation of fluid, increasing tha cardiac output and blood pressure. Which stage of shock does this represent?

25. Cardiac failure and the resultant hypoperfusion are initially compensated for by peripheral vasoconstriction. what stage of shock does this represent?

26. A low pH dilating the arterioles and blood creates pooling in the microcirculation, which worsens the cardiac output. What is this condition called?

27. Which of the following is/are prominent features of shock pathology?

IT's Shocking!

1. True or false. Hypoprofusion eventually leads to organ failure.

2.

What first name or nickname would you like us to use?

2. What is it called when all the tissues in the body are not being satiated with oxygen?

3. During anaerobic metabolism what is increased to create an acidotic state?

4. The cellular hypoxia causes a shift from ________ to _________ metabolism.

5. Which of the following is NOT a mechanism of shock.

6. What is another name for shock lung?

7. Which of the following is an example of a major cause of shock in clinical practice?

8. Which of the following is NOT involved in cardiogenic shock?

9. Which of the following are causes of septic shock?

10. What does DIC stand for?

11. Which of the following is a characteristic of all three forms of shock?

12. True or false. the body is usually edematous (anasarca) with shock.

13. True or false. Shock is a state of hyperprofusion of tissues with blood.

14. What is currently the most common cause of death in ICUs?

15. Tissue hypoprofusion and the onset of worsening circulatory and metabolic imbalances (aka: acidosis), is representative of what stage?

16. _______ results from a loss of vascular tone and pooling of blood in dilated peripheral blood vessels.

17. Which of the following is NOT involved in the irreversible stage of shock?

18. When the organs are congested with edema, the lungs may be how many times the normal weight?

19. Cellular injury is widespread, affecting all organs, especially the kidneys. This is an example of what stage of shock?

20. What are the changes in the lungs and kidneys due to shock?

21. What is an endotoxin that is released that binds to WBCs causing a release of inflammatory mediators?

22. Which stage of shock is when compensatory mechanism are activated and perfusion f vital organs is maintained.

23. Which of the following is a cause of hypotonic shock?

24. Vasoconstriction of the renal blood vessels results in renal hypoperfusion and a decrease in GFR. This activates the RAS for conservation of fluid, increasing tha cardiac output and blood pressure. Which stage of shock does this represent?

25. Cardiac failure and the resultant hypoperfusion are initially compensated for by peripheral vasoconstriction. what stage of shock does this represent?

26. A low pH dilating the arterioles and blood creates pooling in the microcirculation, which worsens the cardiac output. What is this condition called?

27. Which of the following is/are prominent features of shock pathology?

4. The cellular hypoxia causes a shift from to _ metabolism.