This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Trauma, 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. Hypovolemic + neurogenic shock, C. Hypovolemic + Septicemia, D. Neurogenic shock', 'role': 'user'}, {'content': "Answer: D \nExplanation: Answer is neurogenic shock. It is usually due to spinal cord injury, which causes dilatation of splanchnic vessels. There will be bradycardia, hypotension, arrhythmias, and decreased cardiac output. Reference : SRB's Manual of Surgery, 6th Edition, page no = 106.", 'role': 'assistant'}]