Chapter 24 In which of the following conditions would you expect

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Hall: Guyton and Hall Textbook of Medical Physiology, 12th Edition

Chapter 24: Circulatory Shock and Its Treatment

Test Bank

1. Which of the following conditions often occurs in compensated hemorrhagic shock?

A. Decreased heart rate

B. Stress relaxation of veins

C. Decreased ADH release

D. Decreased absorption of interstitial fluid through the capillaries

E. CNS ischemic response

2. In which of the following conditions would you expect to find increased left atrial

pressure?

A. Tricuspid stenosis

B. Tricuspid regurgitation

C. Pulmonary valve stenosis

D. Pulmonary valve regurgitation

E. Severe aortic stenosis

3. Release of which of the following causes vasodilation during anaphylactic shock?

A. Histamine

B. Bradykinin

C. Nitric oxide

D. Atrial natriuretic factor

E. Adenosine

4. A 50-year-old female received an overdose of furosemide and arterial pressure decreased

to 70/40. Heart rate is 120 and the respiratory rate is 30/min. What therapy would you

recommend?

A. Whole blood infusion

B. Plasma infusion

C. Infusion of a balanced electrolyte solution

D. Infusion of a sympathomimetic drug

E. Administration of a glucocorticoid

5. If a patient undergoing spinal anesthesia experiences a large decrease in arterial pressure

and goes into shock, which of the following would be the therapy of choice?

A. Plasma infusion

B. Blood infusion

C. Saline infusion

D. Glucocorticoid infusion

E. Infusion of sympathomimetic drug

6. A patient in the hospital received an overdose of furosemide and arterial pressure

decreased to 70/40. Heart rate is 120 and the respiratory rate is 30/min. What therapy

would you recommend?

A. Whole blood infusion

B. Plasma infusion

C. Infusion of a balanced electrolyte solution

D. Infusion of a sympathomimetic drug

E. Administration of a glucocorticoid

7. Which kind of shock is often associated with an increased cardiac output?

A. Hemorrhagic shock

B. Anaphylactic shock

C. Septic shock

D. Neurogenic shock

E. Shock due to dehydration

8. A 10-year-old female in the hospital had an intestinal obstruction and arterial pressure

decreased to 70/40. Heart rate is 120 and the respiratory rate is 30/min. Which of the

following therapies would the physician recommend?

A. Blood infusion

B. Plasma infusion

C. Infusion of a balanced electrolyte solution

D. Infusion of a sympathomimetic drug

E. Administration of a glucocorticoid

9. Which of the following conditions often occurs in progressive hemorrhagic shock?

A. Vasomotor center failure

B. Increased urine output

C. Tissue alkalosis

D. Decreased capillary permeability

Test Bank

24-3

E. Increased mean systemic filling pressure

10. A 30-year-old female enters the UMC emergency room and has been experiencing severe

vomiting. She has pale skin, tachycardia and an arterial pressure of 80/50 and has trouble

walking. What therapy do you recommend to prevent shock?

A. Packed red cell infusion

B. Administration of an antihistamine

C. Infusion of a balanced electrolyte solution

D. Infusion of a sympathomimetic drug

E. Administration of a glucocorticoid