<prompt> A 40 year old female patient complains of breathlessness. Patient gives a history of chest trauma 4 hours ago. General physical examination reveals altered mental status. Further investigations suggest-Blood pressure-8060 mmHg.Heart rate- 120 bpm.Muffled heart sound.Jugular venous pressure- raised.Pulsus paradoxus - present.The patient is in which type of shock?NeurogenicObstructiveDistributiveHypovolemic  <response>: Note- Jugular venous pressure is high in cardiogenic and obstructive shock.Cardiac tamponade caused by chest trauma may lead to obstructive shock.Muffled heart sound, hypotension, raised JVP Becks triad symbolises cardiac tamponade a cause for obstructive shock. 