NBME Step 2 CK Form 7 Cardiogenic shock (NBME Answers)

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Retired NBME Answer Explanations

Retired NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 3/Question#40 (reveal difficulty score)
Three hours after undergoing emergency repair ...
Cardiogenic shock 🔍 / 📺 / 🌳 / 📖
tags: cardio

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submitted by ∗step_prep5(246)

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Patient with a major aortic injury who presents with decreased cardiac index, hypotension, increased pulmonary capillary wedge pressure, increased CVP and increased PA pressure with ECG changes most consistent with cardiogenic shock
Distributive shock (sepsis, anaphylaxis) –> Increased cardiac index, decreased PCWP, decreased SVR
Hypovolemic shock –> Decreased cardiac index, decreased PCWP, increased SVR
CHF –> Pulmonary edema, lower extremity edema, elevated JVP, etc.

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