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Pathology · Shock
Sample itemWhich finding is most characteristic of early septic shock compared with hypovolemic shock?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Warm peripheries from peripheral vasodilation
Early septic shock often has distributive vasodilation, warm extremities, and widened pulse pressure despite hypotension. Hypovolemic shock more commonly produces cool clammy skin from vasoconstriction.
Option by option
A. Warm peripheries from peripheral vasodilation (correct)
Correct. Vasodilation causes warm shock early in sepsis.
B. Marked bradycardia from vagal excess
Septic shock commonly causes tachycardia, not marked bradycardia.
C. Immediate severe anemia in every case
Anemia may or may not be present and is not defining.
D. Fixed pupillary dilation
Fixed pupils suggest severe neurologic injury.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.