North American Registry of Midwives (NARM) Practice Exam

What is a possible serious complication of untreated Toxic Shock Syndrome?

1. Chronic fatigue syndrome

2. Cardiac dysfunction

3. Peripheral neuropathy

4. Asthma exacerbations

The correct answer is: Cardiac dysfunction

Untreated Toxic Shock Syndrome (TSS) can lead to several serious complications, and cardiac dysfunction is a significant risk. TSS is primarily caused by the toxins from certain strains of Staphylococcus aureus and can lead to multi-organ failure due to the rapid onset of symptoms. The toxins can affect cardiovascular stability, leading to decreased blood pressure (shock) and potential damage to the heart muscle. When the body grapples with septic shock, the heart may not function properly, resulting in complications such as arrhythmias, myocardial ischemia, or even heart failure. Chronic fatigue syndrome, peripheral neuropathy, and asthma exacerbations are less direct consequences of TSS. While chronic fatigue can arise from various illnesses over time, it is not a specific or immediate complication of TSS. Peripheral neuropathy typically arises from different causes, such as diabetes, toxins, or vitamin deficiencies, not directly as a result of TSS. Asthma exacerbations can occur due to various triggers but are not a recognized complication of the syndrome. Thus, cardiac dysfunction, given its immediate and critical nature in the context of untreated TSS, stands out as the most appropriate response.