Critical care: haemorrhagic shock classification: practice question

A Anaesthesia question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Anaesthesia · Critical care: haemorrhagic shock classification

Sample item

A trauma patient has a pulse of 130 per minute, blood pressure 90/60 mmHg, respiratory rate 32 and an estimated blood loss of 35%. Which ATLS class is this?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Class III

Class III haemorrhage involves 30 to 40% blood loss (1500 to 2000 mL) with tachycardia over 120, hypotension and confusion. Class IV is over 40% loss with a critical state.

Option by option

  • A. Class IV

    Class IV is over 40% loss.

  • B. Class III (correct)

    Correct. 30 to 40% blood loss is class III.

  • C. Class I

    Class I is under 15% loss.

  • D. Class II

    Class II is 15 to 30% loss with preserved blood pressure.

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.

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Questions about this Anaesthesia question

What is the answer to this Anaesthesia question?

The best answer is B, Class III. Class III haemorrhage involves 30 to 40% blood loss (1500 to 2000 mL) with tachycardia over 120, hypotension and confusion.

Why is "Class IV" not the answer?

Class IV is over 40% loss.

Why is "Class I" not the answer?

Class I is under 15% loss.

Why is "Class II" not the answer?

Class II is 15 to 30% loss with preserved blood pressure.

What concept does this question test?

It tests Critical care: haemorrhagic shock classification in Anaesthesia. Class IV is over 40% loss with a critical state.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Critical care: haemorrhagic shock classification?

Make a table of each agent, its key advantage and its main side effect. Then use the flashcards and the other Anaesthesia questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.