Shock And Hemodynamic Instability Practice Test

A 45-year-old man is brought to the emergency department after a high-speed motor vehicle collision. He is anxious and complains of severe abdominal pain. His temperature is 36.8°C (98.2°F), blood pressure is 85/50 mmHg, heart rate is 130/min, and respiratory rate is 28/min. On physical examination, his abdomen is distended and diffusely tender. His extremities are cool and clammy, with a capillary refill time of 4 seconds.

A 68-year-old woman with a history of coronary artery disease presents with 3 hours of crushing substernal chest pain. Her blood pressure is 80/60 mmHg and heart rate is 115/min. On physical examination, she has jugular venous distention to the angle of the jaw. Lung auscultation reveals bilateral crackles. An ECG shows ST-segment elevations in leads V1-V4.