❤️ PATHOPHYSIOLOGY
🩸 TYPES OF SHOCK
🚨 RECOGNITION
🚑 TREATMENT
🧠 NREMT CHALLENGE
100

Shock is best defined as this condition.

What is inadequate cellular perfusion (hypoperfusion)?

100

This type of shock results from pump failure.

What is cardiogenic shock?

100

This stage of shock is characterized by anxiety, restlessness, and tachycardia.

What is compensated shock? 

100

The first priority after recognizing shock.

What is begin immediate treatment and control life-threatening bleeding?

100

A patient is anxious, tachycardic, pale, cool, and has a BP of 124/82.

Question:
What stage of shock?

What is Compensated shock.

200

The three components of the "perfusion triangle."

What is 

  • Heart (pump)
  • Blood vessels (container)
  • Blood (contents)
200

Name the three classic causes of obstructive shock.

What is 

  • Cardiac tamponade
  • Tension pneumothorax
  • Pulmonary embolism
200

A falling blood pressure usually indicates this stage.

What is decompensated shock? 

200

Two treatments nearly every shock patient receives.

What is 

  • High-flow oxygen
  • Keep the patient warm 
200

A trauma patient has JVD, muffled heart sounds, and narrowing pulse pressure.

Question:
What is the most likely diagnosis?

What is Cardiac tamponade. 

300

This physiologic response causes tachycardia, stronger cardiac contractions, and peripheral vasoconstriction during early shock.

What is sympathetic nervous system activation (fight-or-flight response)? 

300

Match the shock type with the cause.

Massive bleeding

Severe infection

High spinal cord injury

Allergic reaction

What is 

  • Massive bleeding → Hypovolemic
  • Severe infection → Septic
  • High spinal cord injury → Neurogenic
  • Allergic reaction → Anaphylactic
300

Blood pressure is often this during the early stages of shock.


What is normal (maintained by compensation)? 

300

This medication is indicated for severe anaphylactic shock.

What is epinephrine?

300

A patient has unilateral absent breath sounds, hypotension, JVD, and severe respiratory distress.

Question:
What shock is occurring?

What is Obstructive shock from tension pneumothorax.

400

Pulse pressure is calculated by subtracting these two numbers.

What is systolic minus diastolic blood pressure?

400

This obstructive shock presents with Beck's triad.

What is cardiac tamponade?

400

List FOUR findings of compensated shock.

What is 

  • Anxiety
  • Restlessness
  • Impending doom
  • Tachycardia
  • Pale cool clammy skin
  • Narrow pulse pressure
  • Rapid respirations
  • Thirst
400

True or False:

Patients in cardiogenic shock should receive nitroglycerin because they have chest pain.

What is False. Cardiogenic shock patients are hypotensive and should not receive nitroglycerin.

400

Following a bee sting, a patient develops wheezing, hives, facial swelling, hypotension, and stridor.

Question:
What type of shock?

What is Anaphylactic shock.

500

Arrange these in the correct order of oxygen delivery.

  1. Capillary diffusion
  2. Alveolar gas exchange
  3. Cellular metabolism
  4. Hemoglobin transport

What is 2 → 4 → 1 → 3

500

This type of shock is caused by widespread vasodilation after a high spinal cord injury.

What is neurogenic shock?

500

An infant's blood pressure suddenly begins falling after severe trauma.

What is the child is in late/decompensated shock and is critically ill.

500

Match the shock with its priority intervention.

Cardiac tamponade

Tension pneumothorax

Septic

Hypovolemic

What is 

  • Cardiac tamponade → Rapid transport/high-flow O₂ (definitive surgical care)
  • Tension pneumothorax → Chest decompression (ALS)
  • Septic → Oxygen, transport, sepsis notification
  • Hypovolemic → Control bleeding and rapid transport
500

Hypotension, bradycardia, and warm, dry skin after a cervical spinal injury.

What kind of shock? 

What is neurogenic shock?

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