Medicine Assessment

20 learning units • 10 questions per unit • 200 explained questions

Module 02 — Acute Deterioration, Shock & Sepsis

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Question 01 • Single best answer

An unresponsive patient is not breathing normally. What is the priority?

A. Finish routine clerking B. Wait for a chest radiograph C. Offer oral fluids D. Activate the appropriate resuscitation response

Question 02 • Single best answer

What is the central physiological problem in shock?

A. Inadequate tissue perfusion B. Fever alone C. Pain alone D. A diagnosis based only on age

Question 03 • Single best answer

Can normal blood pressure fully exclude early shock?

A. Yes in every patient B. No C. Yes if pulse is recorded once D. Yes when temperature is normal

Question 04 • Single best answer

Which feature can indicate organ dysfunction in possible infection?

A. Isolated hair color change B. New confusion with deteriorating physiology C. A healed scar alone D. A normal appetite alone

Question 05 • Single best answer

Does absence of fever exclude sepsis?

A. Yes B. No C. Yes in older adults especially D. Yes after any antibiotic dose

Question 06 • Single best answer

What does standard pulse oximetry fail to measure directly?

A. Carbon dioxide B. Pulse rate estimate C. Oxygen saturation estimate D. Changes in its own displayed saturation

Question 07 • Single best answer

Why reassess after fluid administration?

A. Every patient needs unlimited fluid B. Benefit and risk of overload depend on response and cause C. Reassessment delays all useful care D. Fluid never affects respiration

Question 08 • Single best answer

What is the role of an early warning score?

A. Support recognition and escalation alongside judgment B. Replace all clinical examination C. Diagnose a specific organism D. Guarantee safety when low

Question 09 • Single best answer

Why should relevant cultures not cause harmful delay in urgent sepsis treatment?

A. Cultures have no value in any infection B. Time-critical care and source management may be needed C. Every fever is bacterial sepsis D. Treatment should await every possible test

Question 10 • Single best answer

A patient labeled septic has evidence of major bleeding. What should happen?

A. Reassess and manage bleeding as a possible concurrent or alternative cause B. Ignore bleeding because a label exists C. Wait for discharge D. Assume antibiotics will restore blood volume

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