Late sign of septic shock

• A. Hypotension in Sepsis
• B. Late sign of septic shock
• C. Sepsis
• D. SIRS

Answer: (B)

The concept here is the progression of septic shock from an early, compensated phase to a decompensated, hypoperfusion phase. In the early stage, the body often maintains blood pressure through increased heart rate and vasoconstriction, so signs like hypotension may not yet be present. As shock advances and organ perfusion worsens, tissues receive even less blood flow, leading to cooler, clammy skin, mottling, reduced urine output, and mental status changes. Hypotension that persists despite initial treatment is a hallmark of this late stage of septic shock. The option that states a late sign of septic shock fits best because it directly refers to this advanced, decompensated phase, whereas sepsis or SIRS describe earlier or broader systemic inflammatory states, and general hypotension can occur at different points and contexts.