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3 Cardiogenic Shock Online Quiz Questions

Use this free practice quiz with 20 questions to review 3 Cardiogenic Shock, test your knowledge, and prepare for your next test or exam.

20 questions

True or false

1 point

True or false: Low blood pressure by itself is enough to establish that a patient is in cardiogenic shock.

A
True
B
False

Fill in the blank

1 point

An inotrope such as may be considered to support cardiac output in cardiogenic shock.

Written response

1 point

For a patient with cardiogenic shock who remains hypotensive with signs of poor perfusion, which vasopressor is identified as a reasonable preferred initial agent?

Choose all

1 point

Select all findings that may indicate organ hypoperfusion in a patient being assessed for cardiogenic shock.

A
Confusion
B
Cool or mottled skin
C
Weak pulses
D
Low urine output
E
Jugular venous distension
F
Peripheral edema

Choose one

1 point

A patient with suspected cardiogenic shock has crackles and pulmonary edema. Which general approach to IV fluids is safest?

A
Give repeated large-volume boluses because all shock is caused by low volume.
B
Avoid routine large-volume boluses; assess volume status and use fluid only when clinically indicated, with close reassessment.
C
Continue fluid until the crackles worsen.
D
Never give fluids to any patient with cardiogenic shock.

Written response

1 point

What cardiac imaging test may be performed at the bedside during the evaluation of suspected cardiogenic shock?

Choose one

1 point

A patient is suspected of having cardiogenic shock. Which action set is the best immediate approach?

A
Obtain rapid cardiac monitoring and IV access, assess oxygenation and perfusion, and urgently evaluate the cause.
B
Give repeated large-volume fluid boluses before examining the patient.
C
Wait for laboratory results before obtaining an ECG or imaging.
D
Treat the blood pressure number alone and reassess several hours later.

Choose all

1 point

Select all findings that may signal congestion in a patient with cardiogenic shock.

A
Pulmonary edema
B
Jugular venous distension
C
Peripheral edema
D
Confusion

Choose one

1 point

A pulmonary artery catheter shows a cardiac index of $1.8\ \mathrm{L/min/m^2}$ and a pulmonary capillary wedge pressure of $22\ \mathrm{mm\,Hg}$ . Which interpretation best fits these findings?

A
Low cardiac output with elevated left-sided filling pressure, consistent with a “cold and wet” pattern.
B
High cardiac output with low filling pressure.
C
Normal cardiac output with isolated vasodilation.
D
The values alone prove hypovolemic shock.

True or false

1 point

True or false: Once a vasopressor is started for cardiogenic shock, monitoring for organ perfusion is no longer necessary.

A
True
B
False

Choose one

1 point

A patient with cardiogenic shock has an ECG consistent with acute myocardial infarction. Which intervention is especially time-critical?

A
Urgent assessment for coronary revascularization.
B
Routine administration of large fluid volumes.
C
Wait for all cardiac biomarkers to peak before calling a specialist.
D
Use a vasopressor as a substitute for treating the blocked artery.

Fill in the blank

1 point

When perfusion cannot be maintained with medical treatment alone, temporary may be considered.

Open ended

1 point

A patient with cardiogenic shock has rising lactate, falling urine output, and persistent hypotension despite initial pharmacologic support. Describe the next steps in management and explain what kinds of escalation may be considered.

Written response

1 point

Which laboratory marker may rise as a sign of tissue hypoperfusion in cardiogenic shock?

Written response

1 point

What neck-vein finding can signal congestion in a patient with cardiogenic shock?

True or false

1 point

True or false: Pulmonary edema and jugular venous distension can be signs of congestion in cardiogenic shock.

A
True
B
False

Choose one

1 point

A patient with chest discomfort has low blood pressure, cool extremities, falling urine output, and crackles in both lungs. Which interpretation best fits the findings?

A
The low blood pressure alone proves hypovolemic shock.
B
Cardiogenic shock is likely, with hypoperfusion and pulmonary congestion.
C
The findings indicate normal compensation and need no urgent assessment.
D
Diaphoresis alone proves distributive shock.

Choose one

1 point

A patient has cardiogenic shock with an ECG consistent with acute myocardial infarction. Which intervention is especially time-critical?

A
Urgently assess the patient for coronary revascularization.
B
Wait for all cardiac biomarkers to peak before contacting a specialist.
C
Use a vasopressor as a substitute for treating the blocked artery.
D
Give routine large fluid volumes as the definitive treatment.

Choose one

1 point

A patient remains hypotensive with poor perfusion despite initial stabilization. Which statement about vasoactive support in cardiogenic shock is most accurate?

A
Vasoactive medicines are never used in cardiogenic shock.
B
Norepinephrine is a reasonable preferred initial vasopressor; dobutamine or milrinone may be considered for inotropic support, with close reassessment.
C
Every patient should receive the same vasoactive drug and dose regardless of hemodynamics.
D
Once a vasoactive medicine is started, reassessment is unnecessary.

Choose one

1 point

A patient with cardiogenic shock has rising lactate, falling urine output, and persistent hypotension despite initial pharmacologic support. What is the best next step?

A
Continue the same plan without reassessing the patient.
B
Escalate urgently to a multidisciplinary shock team for hemodynamic reassessment and consideration of advanced support or transfer.
C
Stop monitoring because the diagnosis is already known.
D
Wait to escalate until cardiac arrest occurs.

3 Cardiogenic Shock Online Quiz Questions

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