Free Practice Quiz Question List

4 Distributive and Septic Shock Online Quiz Questions

Use this free practice quiz with 20 questions to review 4 Distributive and Septic Shock, test your knowledge, and prepare for your next test or exam.

20 questions

True or false

1 point

Distributive shock can impair tissue perfusion even when total blood volume is not initially depleted. Is this statement true or false?

A
True
B
False

Choose one

1 point

An older adult with a suspected urinary infection is newly confused, breathing rapidly, and has a heart rate of 122/min. Their skin is warm, and their blood pressure is 104/66 mm Hg. What is the best interpretation?

A
Shock is ruled out because the systolic pressure is above 90 mm Hg.
B
Early distributive shock is possible; escalate assessment and care promptly.
C
Cool skin is required before septic shock can be suspected.
D
The findings point specifically to anaphylaxis.

Fill in the blank

1 point

In early septic shock, skin may be warm and flushed; later, may make it cool and clammy.

Written response

1 point

In a patient with suspected infection, an elevated lactate can be a sign of what problem?

Choose one

1 point

For an adult with sepsis-induced hypoperfusion or septic shock, which initial crystalloid approach is suggested by the guideline?

A
Give 10 mL/kg of oral fluid over 6 hours.
B
Suggest at least 30 mL/kg of IV crystalloid within the first 3 hours, with individual circumstances and reassessment considered.
C
Give 50 mL/kg of IV fluid immediately to every patient, without reassessment.
D
Avoid IV fluids until culture results are available.

Choose all

1 point

Which conditions are identified as causes of distributive shock? Select all that apply.

A
Sepsis
B
Hemorrhage
C
Anaphylaxis
D
Neurogenic injury
E
Dehydration

True or false

1 point

For an adult with septic shock, antimicrobials should be started immediately, ideally within 1 hour of recognition. Is this statement true or false?

A
True
B
False

Fill in the blank

1 point

For an adult with septic shock and persistent hypotension after initial fluid resuscitation, the recommended first-line vasopressor is .

Written response

1 point

For most adults with septic shock, what is the usual initial mean arterial pressure (MAP) target? Enter the numeric value in mm Hg.

Choose all

1 point

Which principles are appropriate when planning crystalloid resuscitation for an adult with suspected septic shock? Select all that apply.

A
Use crystalloids for resuscitation.
B
Prefer balanced crystalloids when appropriate.
C
Give repeated fluid boluses without checking the patient's response.
D
Individualize further fluids based on reassessment.

Choose one

1 point

A patient develops hives, lip swelling, wheezing, and dizziness shortly after receiving a medication. Which intervention is the priority?

A
Treat as possible anaphylaxis: give intramuscular epinephrine promptly and activate the emergency response.
B
Wait for laboratory confirmation before treating.
C
Give an antihistamine instead of epinephrine.
D
Assume the cause is sepsis because all distributive shock is septic.

Choose one

1 point

An adult has suspected septic shock with hypotension. Which initial plan is most appropriate?

A
Delay treatment until all culture results are available.
B
Obtain blood cultures promptly, ideally before antimicrobials if this does not delay them; measure lactate, start prompt antimicrobials, and begin IV crystalloid resuscitation with frequent reassessment.
C
Use a vasopressor as the only initial intervention and avoid fluids.
D
Give oral fluids and reassess several hours later.

Open ended

1 point

An adult with septic shock remains hypotensive after initial fluid resuscitation. Describe the recommended first-line vasopressor and usual initial MAP target for most adults, then explain what ongoing assessments and investigations should guide further care.

True or false

1 point

True or false: In an adult with suspected infection, a normal blood pressure rules out early shock.

A
True
B
False

Written response

1 point

When crystalloid resuscitation is appropriate for an adult with sepsis, which type of crystalloid is preferred when appropriate?

Choose one

1 point

In an adult with septic shock, what can cool, clammy skin indicate later in the illness?

A
Cool, clammy skin can occur later as vasoconstriction develops.
B
Cool, clammy skin rules out septic shock.
C
Skin must remain warm throughout septic shock.
D
Cool, clammy skin identifies the infection's source.

Written response

1 point

For an adult with sepsis-induced hypoperfusion or septic shock, what minimum IV crystalloid volume per kg does the guideline suggest within the first 3 hours? Enter the numeric volume in mL/kg.

Choose one

1 point

For an adult with suspected anaphylaxis, which statement about antihistamines is accurate?

A
An antihistamine can replace epinephrine as the initial treatment.
B
Antihistamines are not a substitute for prompt intramuscular epinephrine.
C
Epinephrine should be delayed until an antihistamine has been given.
D
Antihistamines confirm whether the reaction is anaphylaxis.

Choose one

1 point

An adult with suspected infection becomes increasingly drowsy. Urine output falls, capillary refill is delayed, and lactate is elevated. Which conclusion is most appropriate?

A
The findings suggest possible tissue hypoperfusion and organ dysfunction.
B
The lactate result identifies the location of the infection.
C
Reduced urine output is unrelated to perfusion.
D
Treatment can wait until hypotension becomes severe.

Choose one

1 point

For an adult with suspected septic shock, when should blood cultures be collected relative to starting antimicrobials?

A
Wait to collect cultures until the antimicrobial course is complete.
B
Collect cultures only if the first antimicrobial dose fails.
C
Collect blood cultures promptly, ideally before antimicrobials if this does not delay them.
D
Delay antimicrobials until all culture results are available.

4 Distributive and Septic Shock Online Quiz Questions

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