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Free Practice Quiz Question List

5 Obstructive Shock Online Quiz Questions

Use this free practice quiz with 20 questions to review 5 Obstructive Shock, test your knowledge, and prepare for your next test or exam.

20 questions
01
Choose one
1 point

Which group contains three common causes of obstructive shock?

  1. A

    Dehydration, gastrointestinal bleeding, and burns

  2. B

    Myocardial infarction, myocarditis, and dysrhythmia

  3. C

    Tension pneumothorax, cardiac tamponade, and high-risk pulmonary embolism

  4. D

    Sepsis, anaphylaxis, and spinal cord injury

02
True or false
1 point

Every patient with cardiac tamponade has hypotension, distended neck veins, and muffled heart sounds.

  1. A

    True

  2. B

    False

03
Fill in the blank
1 point

A large pulmonary embolism can sharply increase right-ventricular and impair forward blood flow.

04
Choose one
1 point

Which presentation is most consistent with compensated shock rather than established hypotensive shock?

  1. A

    Persistent hypotension with worsening mental status

  2. B

    Tachycardia and cool, clammy skin while blood pressure is maintained

  3. C

    Normal mentation, warm skin, and normal perfusion

  4. D

    Cardiac arrest

05
Choose all
1 point

Which findings can be consistent with shock? Select all that apply.

  1. A

    Tachycardia

  2. B

    Weak pulses

  3. C

    Cool or clammy skin

  4. D

    Delayed capillary refill

  5. E

    Altered mental status

  6. F

    Reduced urine output

  7. G

    Warm skin with normal perfusion

  8. H

    Increased urine output

06
Written response
1 point

After chest trauma, a patient develops acute shortness of breath and hypotension with markedly reduced breath sounds on one side. Which obstructive emergency is strongly suggested?

07
Choose one
1 point

A patient with penetrating chest trauma has hypotension, distended neck veins, and muffled heart sounds. Which condition is most likely?

  1. A

    Cardiac tamponade

  2. B

    Tension pneumothorax

  3. C

    Uncomplicated pulmonary embolism

  4. D

    Septic shock

08
True or false
1 point

When tension pneumothorax is strongly suspected in a deteriorating patient, decompression should wait until a chest radiograph confirms the diagnosis.

  1. A

    True

  2. B

    False

09
Fill in the blank
1 point

In selected cases of tamponade, a cautious fluid bolus may serve as a temporary , but it does not remove the obstruction.

10
Written response
1 point

What is one urgent definitive intervention for an unstable patient with suspected cardiac tamponade?

11
Choose all
1 point

Which statements about care for pulmonary embolism causing shock are supported? Select all that apply.

  1. A

    Obtain urgent expert assessment and arrange prompt PE-directed treatment

  2. B

    Depending on the case, consider systemic or catheter-directed thrombolysis

  3. C

    Depending on the case, consider catheter-based or surgical embolectomy

  4. D

    Delay escalation until a routine outpatient appointment

  5. E

    Individualize anticoagulation and reperfusion decisions according to clinical circumstances and contraindications

12
Choose one
1 point

A patient with chest trauma becomes acutely short of breath and hypotensive, with markedly reduced breath sounds on one side. What is the priority concern and response?

  1. A

    Tension pneumothorax; arrange immediate decompression by a trained clinician

  2. B

    Pulmonary edema; give a diuretic before further assessment

  3. C

    Cardiac tamponade; wait for a chest radiograph before intervening

  4. D

    Hypovolemia; give repeated large fluid boluses as the sole treatment

13
Open ended
1 point

A bystander suspects obstructive shock during a rapidly worsening emergency. What general safety steps should be followed, and who should perform invasive procedures?

14
Choose one
1 point

Which mechanism best explains obstructive shock?

  1. A

    Loss of circulating blood volume

  2. B

    Failure of the heart muscle to contract effectively

  3. C

    Mechanical interference with cardiac filling or blood flow out of the heart

  4. D

    Widespread loss of vascular tone

15
Written response
1 point

Which skin descriptor is listed as a possible finding in shock? Enter one adjective.

16
True or false
1 point

True or false: Every patient with cardiac tamponade has hypotension, distended neck veins, and muffled heart sounds.

  1. A

    True

  2. B

    False

17
Written response
1 point

When a large pulmonary embolism obstructs pulmonary blood flow, which heart chamber can face a sharp increase in afterload? Enter the chamber name.

18
Choose one
1 point

After chest trauma, a patient becomes acutely short of breath and hypotensive, with markedly reduced breath sounds on one side. What is the priority concern and response?

  1. A

    Suspect tension pneumothorax and arrange immediate decompression by a trained clinician

  2. B

    Suspect pulmonary edema and give a diuretic before further assessment

  3. C

    Suspect tamponade and wait for a chest radiograph before intervening

  4. D

    Suspect hypovolemia and use repeated large fluid boluses as the sole treatment

19
Choose one
1 point

An unstable patient is suspected of having cardiac tamponade. Which intervention addresses the underlying obstruction?

  1. A

    Urgent pericardial decompression by an appropriately trained team

  2. B

    Diuresis to reduce venous pressure

  3. C

    Observation until all diagnostic tests are complete

  4. D

    A vasopressor without treating the cause

20
Choose one
1 point

A recently postoperative patient develops sudden dyspnea, pleuritic chest pain, tachycardia, hypoxemia, and hypotension. Which cause of obstructive shock should be suspected?

  1. A

    High-risk pulmonary embolism

  2. B

    Isolated dehydration

  3. C

    Neurogenic shock

  4. D

    Left-sided heart failure only