Surgery Assessment

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

Module 03 — Shock, Hemorrhage & Transfusion

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Question 01 • Single best answer

Which definition best describes shock?

A. Any isolated fast pulse B. A low temperature alone C. Inadequate tissue perfusion D. Anxiety before an operation

Question 02 • Single best answer

Why can early hemoglobin be normal after major acute blood loss?

A. Red cells instantly regenerate B. Hemorrhage always raises hemoglobin permanently C. Concentration may not yet reflect the volume lost D. The test measures blood pressure

Question 03 • Single best answer

Which site can conceal major traumatic bleeding?

A. The outer hair shaft B. Retroperitoneum C. The nail plate D. The corneal surface

Question 04 • Single best answer

Persistent tachycardia and poor perfusion follow abdominal surgery despite little drain output. What is best?

A. Exclude bleeding because the drain is quiet B. Urgent assessment for concealed bleeding and other causes C. Remove all monitoring D. Wait for the next routine clinic

Question 05 • Single best answer

What is the role of red-cell transfusion?

A. Improve oxygen-carrying capacity when indicated B. Replace all coagulation factors specifically C. Sterilize the bloodstream D. Correct every cause of shock

Question 06 • Single best answer

Which component primarily supports platelet-dependent hemostasis?

A. Crystalloid B. Albumin C. Packed red cells alone D. Platelets

Question 07 • Single best answer

A patient develops rigors and breathlessness during transfusion. What is the immediate safe response?

A. Accelerate the transfusion B. Stop the transfusion and seek urgent clinical assessment C. Ignore symptoms until the bag is empty D. Give another unit without review

Question 08 • Single best answer

Which action addresses the cause of ongoing surgical hemorrhagic shock?

A. Fluids indefinitely without source assessment B. Documentation without treatment C. Definitive bleeding control alongside resuscitation D. Waiting for spontaneous normalization

Question 09 • Single best answer

Which trend suggests improving perfusion?

A. Increasing confusion B. Persistently cold mottled extremities C. Improving mentation and urine output in context D. Rising lactate with deterioration

Question 10 • Single best answer

Why is temperature management relevant in severe hemorrhage?

A. Cooling always improves clotting B. Hypothermia can worsen coagulation dysfunction C. Temperature has no physiological effect D. Warming replaces surgery

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