Chest Pain in Medicine / Internal Medicine — 34yo Man | Critical Care | SMLE Q#1088
SMLE Question #1088
Medicine / Internal Medicine
Critical Care
Last updated: February 2026
A 34-year-old man is brought to the emergency department after a high-speed motor vehicle collision. He is drowsy with chest pain and dyspnea. Examination shows distended neck veins, muffled heart sounds, and cool clammy extremities. Breath sounds are equal bilaterally, and the trachea is midline. What is the most likely type of shock in this patient?
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