Shock and Blood Transfusion is part of the General Surgery section of Surgery. Practise 76 exam-style MCQs for NEET PG, FMGE, INI-CET and NEET SS, each with the correct answer and a detailed explanation.
Shock and Blood Transfusion MCQs drill fluid bolus strategy, massive-transfusion complications such as coagulopathy and hypothermia, and blood-product storage, making them high-yield NEET PG practice alongside FMGE, INI-CET and NEET SS revision.
Sample Shock and Blood Transfusion MCQs with answers
Sample MCQ #1
A child was brought to the ER with a lesion on the forearm as seen. As a surgery resident, you decide to excise the lesion in emergency ot. Which of the following investigations will test for the entire coagulation?
AaPTT
BPT
CCT
DThromboelastography
Show Answer & Explanation ▾
✓ Correct Answer: D. Thromboelastography
Thromboelastography can be used for guiding intra operative transfusion. But it cant be employed in other disorders of bleeding and thrombosis. It has some role in venom induced coagulopathy
Sample MCQ #2
What would be maintenance fluid rate in case of shock in a man with 65 kgs of weight?
A55 ml/hour
B120 ml/hour
C75 ml/hour
D105 ml/hour
Show Answer & Explanation ▾
✓ Correct Answer: D. 105 ml/hour
For patient weighting more than 40 kgs simple rule to calculate maintenance water is = weight in kgs +40 So, in our patient maintenance fluid would be 65 + 40=105 ml/hour. Reference: Sabiston textbook of Surgery, chapter: 4, Edition: 21 st
Sample MCQ #3
Which of the following is not the complication of massive transfusion?
AHypocalcemia
BHypomagnesemia
CHypokalemia
DHyperkalemia
Show Answer & Explanation ▾
✓ Correct Answer: B. Hypomagnesemia
Complications from massive transfusion Complications from massive transfusion include: coagulopathy; hypocalcaemia; hyperkalaemia; hypokalaemia; hypothermia.
Sample MCQ #4
All of the following statements are true except:
AIn patient with active bleeding due to major trauma first step should be controlling Bleeding rather than starting high fluid therapy.
BIn patient with Bowel obstruction first step should be to resuscitate a patient
CIn patient with active bleeding due to major trauma first step always be fluid therapy.
DAirway and breathing must be ensured in every patient presenting with shock.
Show Answer & Explanation ▾
✓ Correct Answer: C. In patient with active bleeding due to major trauma first step always be fluid therapy.
In patients who are actively bleeding (major trauma, aortic aneurysm rupture, gastrointestinal hemorrhage), it is counterproductive to institute high-volume fluid therapy without controlling the site of hemorrhage. Increasing blood pressure merely increases bleeding from the site while fluid therapy cools the patient and dilutes available coagulation factors. Thus operative hemorrhage control should not be delayed and resuscitation should proceed in parallel with surgery. Conversely, a patient with bowel obstruction and hypovolemic shock must be adequately resuscitated before undergoing surgery otherwise the additional surgical injury and hypovolemia induced during the procedure will exacerbate the inflammatory activation and increase the incidence and severity of end-organ insult. Reference: Bailey & Love's short practice of surgery, chapter: 2, Edition: 28th
Sample MCQ #5
In case of blood loss, ideal replacement fluid is?
ABlood products
BRinger lactate
C0.9% saline
D20% Albumin
Show Answer & Explanation ▾
✓ Correct Answer: A. Blood products
In case of blood loss, blood products are the ideal replacement fluids as crystalloids and colloids have no oxygen carrying capacity and also don't contain coagulation factors, RBCs etc. Reference: Bailey & Love's short practice of surgery, chapter: 2, Edition: 28th, Pg: 21
Sample MCQ #6
In case of shock amount of bolus of fluid required to see response would be?
A150 ml
B100 ml
C250 ml
D200 ml
Show Answer & Explanation ▾
✓ Correct Answer: C. 250 ml
250 to 500 ml of fluid should be given as bolus to see dynamic response. Reference: Bailey & Love's short practice of surgery, chapter: 2, Edition: 28th, Pg: 18
Sample MCQ #7
When evaluating a patient in shock, a fluid challenge is often given to assess responsiveness to volume expansion. This involves administering a small but adequate bolus of fluid and observing the hemodynamic response. What is the commonly recommended bolus volume to assess fluid responsiveness?
A150 ml
B100 ml
C250 ml
D200 ml
Show Answer & Explanation ▾
✓ Correct Answer: C. 250 ml
Explanation: A 250 ml fluid bolus is the standard amount used to assess fluid responsiveness in shock. This volume is large enough to produce measurable hemodynamic changes, yet small enough to avoid fluid overload, especially in critically ill or borderline patients. It is used in both emergency and critical care settings. Fluid challenge principles: Quickly determine whether the patient is "fluid responsive" Typically uses 250 ml crystalloid bolus Response assessed by: Blood pressure improvement Heart rate reduction Improvement in perfusion (urine output, mental status) Ultrasound assessment of IVC or stroke volume variation A positive response suggests hypovolemia, while lack of response indicates need for vasopressors or search for other causes of shock.
Sample MCQ #8
All of the followings are correct regarding storage of blood products except:
APacked red cell stored at -2° C with shelf life of 5 weeks
BFresh frozen plasma stored at -40 to -50°C with shelf life of 2 years
CCryoprecipitate is stored at -30° C with shelf life of 2 years
DPlatelets are stored at 20° C with shelf life of 5 days
Show Answer & Explanation ▾
✓ Correct Answer: A. Packed red cell stored at -2° C with shelf life of 5 weeks
Packed red cells are stored in a SAG-M solution to increase shelf life up to 5 weeks at 2-6°C. Reference: Bailey & Love's short practice of surgery, chapter: 2, Edition: 28 th , Pg: 21
What you can practise in Shock and Blood Transfusion
76 Shock and Blood Transfusion MCQs on Shock, Blood Transfusion, General Surgery — each with detailed explanations
Previous-year question practice across NEET PG, FMGE, INI-CET and NEET SS
Progress and performance tracking to measure retention
Shock and Blood Transfusion MCQs drill fluid bolus strategy, massive-transfusion complications such as coagulopathy and hypothermia, and blood-product storage, making them high-yield NEET PG practice alongside FMGE, INI-CET and NEET SS revision.
How many Shock and Blood Transfusion questions are there, and which exams do they cover?
MedLadder includes 76 curated MCQs for Shock and Blood Transfusion under Surgery (General Surgery), covering NEET PG, FMGE, INI-CET and NEET SS preparation.
