This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Shock, Subject name: Surgery
[{'content': 'A patient with spine, chest and abdominal injury in road traffic accident developed hypotension and bradycardia. Most likely reason is: \nSelect and explain. \nA. Hypovolemic shock, B. Distributive, C. Hypovolemic + septicemic shock, D. Neurogenic shock', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Trauma+ Hypotension+ Bradycardia= Neurogenic shock NEUROGENIC SHOCK - Results from loss or suppression of sympathetic tone-Massive vasodilation in venous Vasculature -| Venous return -| Cardiac output - Impaired tissue perfusion & Cellular metabolism. Clinical features - Paralysis below the level of lesion; Hypotension - Bradycardia due to loss of sympathetic tone - Aerial & venous vasodilation - Warm & dry skin - Hypothermia', 'role': 'assistant'}]