KROK 1 2013 – Question 102 · KROK (Medicine) · Pathophysiology

At the end of the working day a worker of a hot work shop has been delivered to a hospital. The patient complains of a headache, dizziness, nausea, general weakness. Objectively: the patient is conscious, his skin is hyperemic, dry, hot to the touch. Heart rate is of 130/min. Respiration is rapid, superficial. What disorder of thermoregulation is most likely to have occurred in this patient?

  1. A. Increased heat transfer and heat production
  2. B. Increased heat production with no changes to the heat transfer
  3. C. Reduced heat transfer
  4. D. Reduced heat production with no changes to the heat transfer
  5. E. Increased heat transfer and reduced heat production
Hint

Dry, hot, flushed skin and a fast pulse in a hot workshop: think about whether the problem lies in how the body gives off heat or in how it makes heat, and what sweating would normally do.

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