SAEM MIDTERM ASSESMENT TEST 2025/2026 GRADED
A+ 125 QUESTIONS WITH 100% CORRECT ANSWERS
Shock is defined as:
A. hypovolemia
B. tachycardia
C. hypotension
D. altered mental status
E. inadequate tissue and organ perfusion - E
The four classic types of shock include all the following EXCEPT:
A. Traumatic
B. Hypovolemic
C. Obstructive
D. Cardiogenic
E. Distributive - A
An early sign and symptom of shock is:
A. Tachycardia
B. Bradycarda
C. Decreased respiratory rate
D. Cyanosis
E. Hypotension - A
All patients with shock should receive as the first priority:
A. Packed red blood cells
B. Trendelenburg positioning
C. Supplemental oxygen
D. Intravenous fluids
E. Antibiotics - C
As compared to adults, children with shock usually:
A. Have more reliable signs and symptoms
, B. Are able to maintain their blood pressure better
C. Have similar epidemiology (i.e. causes for shock states)
D. Do not need specialized care
E. Have different treatment priorities - B
During hypovolemic shock, hypotension tends to develop after the loss of what
percent of blood volume?
A. 10%
B. 20%
C. 30%
D. 40%
E. 50% - C
All of the following are signs and symptoms of hypovolemic shock EXCEPT:
A. Tachycardia
B. Warm, moist skin
C. Cool, clammy skin
D. Narrow pulse pressure
E. Decreased capillary refill - B
The best IV access for volume resuscitation of the hypovolemic patient is:
A. intraosseous line
B. PICC line
C. triple-lumen internal jugular central venous catheter
D. 16g catheter in the antecubital fossa
E. 22g catheter in the dorsum of the hand - D
All of the following are reasonable fluids for resuscitation of hypovolemia EXCEPT:
A. Blood
B. Lactated Ringer's
C. D5W
A+ 125 QUESTIONS WITH 100% CORRECT ANSWERS
Shock is defined as:
A. hypovolemia
B. tachycardia
C. hypotension
D. altered mental status
E. inadequate tissue and organ perfusion - E
The four classic types of shock include all the following EXCEPT:
A. Traumatic
B. Hypovolemic
C. Obstructive
D. Cardiogenic
E. Distributive - A
An early sign and symptom of shock is:
A. Tachycardia
B. Bradycarda
C. Decreased respiratory rate
D. Cyanosis
E. Hypotension - A
All patients with shock should receive as the first priority:
A. Packed red blood cells
B. Trendelenburg positioning
C. Supplemental oxygen
D. Intravenous fluids
E. Antibiotics - C
As compared to adults, children with shock usually:
A. Have more reliable signs and symptoms
, B. Are able to maintain their blood pressure better
C. Have similar epidemiology (i.e. causes for shock states)
D. Do not need specialized care
E. Have different treatment priorities - B
During hypovolemic shock, hypotension tends to develop after the loss of what
percent of blood volume?
A. 10%
B. 20%
C. 30%
D. 40%
E. 50% - C
All of the following are signs and symptoms of hypovolemic shock EXCEPT:
A. Tachycardia
B. Warm, moist skin
C. Cool, clammy skin
D. Narrow pulse pressure
E. Decreased capillary refill - B
The best IV access for volume resuscitation of the hypovolemic patient is:
A. intraosseous line
B. PICC line
C. triple-lumen internal jugular central venous catheter
D. 16g catheter in the antecubital fossa
E. 22g catheter in the dorsum of the hand - D
All of the following are reasonable fluids for resuscitation of hypovolemia EXCEPT:
A. Blood
B. Lactated Ringer's
C. D5W
