MCQ Exam 2011 PDF

Australasian Board Of Cardiovascular Perfusion
Australasian Diploma of Perfusion
Copyright
ABCP 2011
February 2011
Final Examinations
Part 2 Multiple Choice

(2 Hours)
_____________________________________
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ABCP 2011
N.B.
Write your answers on the enclosed answer sheet.

All questions have equal marks.

Final Examinations: Part 2 Multiple Choice
1.
2.
3.
4.
5.
6.
HaemoglobinO2saturationis:
a.thepartialpressureexertedbyoxygendissolvedinsolution
b.thepO2wherehaemoglobinis50%saturatedwithO2
c.thepercentofO2bondingsitesonhaemoglobinthatcontainO2
d.thenumberofgramsofhaemoglobinper100mlofblood
e.noneoftheabove
Ontheoxygendissociationcurve,p50iswhichofthefollowing:
a.TheoxygensaturationnecessarytoobtainapO2of50torr.
b.Approximately27torr.
c.ThepO2necessarytoobtaina50percentoxygensaturation.
d.Approximately50mmHg.
e.2oftheabove
Whichofthefollowingstatementsisfalseconcerningtheoxygendissociationcurve:
a.anormalpO2of90mmHgyieldsanO2saturationof97percent.
b.anarterialpO2of60wouldyieldanO2saturationofapproximately
92percent.
c.anormalvenoussaturationof75percentreflectsapO2of
approximately40mmHg
d.allaretruestatements
CalculateO2transportbasedonthefollowingdata:paO2=70mmHg;
SaO2=94percent;CO=4.1L/min;Hgb=14gm%:
a.
502ml/min
b.
698ml/min
c.
732ml/min
d.
886ml/min
Patientsinshockexhibitwhichofthefollowing:
a.
Decreaseinlactatelevels
b.
O2consumptiongreaterO2supply
c.
DecreasedVO2
d.
Loweredmetabolicdemand
e.
Noneoftheabove
WhichofthefollowingVO2(O2consumption)valueswouldbeconsidered"normal"
fora1.5m2surfaceareapatient:
a.
128ml/min
b.
192ml/min
c.
228ml/min
d.
350ml/min
e.
400ml/min
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ABCP 2011
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ABCP 2011
ABCPFinalExam2011Part2MultipleChoice
page2

7.
8.
9.
10.
11.
12.
ThefollowingO2saturationswererecordeduponinsertionoftheoximetric
SwanGanzcatheter:RA=80%;RV=71%;PA=68%.
Whichofthefollowingmightbeindicated:
a.
Aorticinsufficiency
b.
ASD
c.
VSD
d.
PDA
e.
Thesearenormalfindings
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ThefollowingO2saturationswereobserved:
RA=60%;RV=92%;PA=80%.
Whichofthefollowingmightbeindicated:
a.
Acuteventricularseptalrupture
b.
Severemitralinsufficiency
c.
Severetricuspidinsufficiency
d.
Anomalouspulmonaryreturn
e.
AtrialSeptalDefect
Whichofthefollowingindiceswouldbemostreflectiveofthepatient's
metabolicstatus:
a.
Flowrate
b.
Temperature
c.
Venoussaturation
d.
Useofspecificwavelengths
e.
Bodysurfacearea
Carbondioxideis______timesmoresolublethanoxygen:
a.
10
b.
15
c.
20
d.
25
e.
30
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ABCP 2011
TheHendersonHasselbachequation:
a.
relatespH,pCO2and[HCO3]
b.
maybeusedtoestimatethebicarbonateconcentrationgivenpH,
pCO2andtemperature
c.
relatessolubilityandtotalbloodCO2content
d.
a.andb.
e.
alloftheabove
UnderrestingconditionsthepercentbasalVO2ofthebrainis____
andthisorganreceivesapproximately_____%ofthecardiacoutput:
a.
1621%
15%
b.
48%
23%
c.
911%
4%
d.
2235%
12%
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13.
14.
15.
16.
17.
e.
510%
10%
AllthefollowingarecharacteristicsoftheO2dissociationcurveexcept:
a.
DescribestherelationshipbetweenpO2andsaturationof
haemoglobin
b.
HasalinearrelationshipofpO2andsaturationofhaemoglobin
c.
Usesthep50asanindicatorforpositionofcurve
d.
Consistsofdistinctphaseswithspecificcharacteristics
e.
variesaccordingtochangingmetabolicconditions
Perfusionpressureisdescribedas:
a.
thedifferenceindynamicpressurebetweentwopoints
onatubewithconstantfluidmovement
b.
theperpendicularforcevectoronthewallsofavessel
createdbythemovementoffluid
c.
thepressureexertedbythesurgeononaperfusionist
d.
thedifferenceingaspressurebetweentwoliquids
e.
aandb
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Arightshiftoftheoxygenhaemoglobincurveoccursthroughallof
thefollowing,except:
a.
hypothermia
b.
increasing2,3DPG
c.
increasingCO2
d.
decliningpH
e.
noneoftheabove
WhichofthefollowingstatementsisFALSE:
a.
RVcoronarybloodflowoccursindiastole
b.
Coronarybloodflowisstabledespitechangesinpressure
c.
Reactivehyperemiaisinitiatedbyincreaseinmetabolicdemand
d.
ThedephosphoralationofATPandADPmostlikelycauses
coronaryvasodilation
e.
LVcoronarybloodflowoccursindiastole
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Whichofthefollowingistrueofrespiration:
a.
Intrapleuralpressureisapproximately5mmHgpriorto
expiration.
b.
Subatmosphericpressureexistsinthelungandchestwallprior
toinspiration.
c.
Thecontractionofthediaphragmincreasesthoraciccavity
volume.
d.
Expirationoccurswhenatmosphericpressureslightlyexceeds
intrapleuralpressure.
e.
2oftheabove
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18.
19.
20.
21.
22.
23.
Whatpercentageoftotalbodyoxygenconsumptionisusedinthe
processofbreathingatrest?
a.
5%
b.
10%
c.
15%
d.
20%
e.
25%
Whichofthefollowingbrainareascontrolbreathingrhythm?
a.
Corticalarea
b.
Medullaoblongata
c.
Cerebellum
d.
Pons
e.
Amygdalloidbody
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Whichofthefollowingisthemostpowerfulchemicalstimulantfor
respiration?
a.
pCO2
b.
pO2
c.
pH
d.
N2
e.
alloftheabove
Theassociationbetweenoxygendelivery(DO2)andoxygen
consumption(VO2)duringCPBisbestexpressedby:
a.
SvO2
b.
Arterialbloodgasfromthemembranelung.
c.
NormalMAPandPAPlimitsduringbypass.
d.
Extracorporealbloodflow.
e.
Lactatelevels
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Therelationshipbetweenoxygenconsumptionandoxygendelivery
canbechangedduringCPBbymanipulatingthe:
a.
Haemoglobin
b.
Pumpflow
c.
FiO2
d.
PostoxygenatorPO2
e.
Alloftheabove.
Duringthelatterpartofgestationandafterbirth,redbloodcellsareproducedby:
a.
bonemarrow
b.
liver
c.
spleen
d.
lymphnodes
e.
noneoftheabove
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24.
25.
26.
27.
28.
29.
30.
Erythropoietinis:
a.
ahormonethatstimulatestheproductionofRBCs
b.
formedmostlyinthekidneys
c.
formedintheliver
d.
alloftheabove
e.
noneoftheabove
Theaveragelifespanoftheredbloodcellisabout:
a.
90days
120days
b.
c.
150days
d.
200days
e.
250days
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Whichisthenormalleukocyteconcentrationinthebloodofanadult:
a.
300,000percubicmm
b.
1,000percc
c.
7,000percubicmm
d.
5,200,000percubicmm
e.
1,000,000percubicmm
Macrophagesare:
a. monocytesthathaveincreasedtheirdiameterbyasmuchas500%
b.
capableofphagocytizingasmanyas100bacteriaapiece
c.
mobilecellsthatarecapableofwanderingthroughtissues
d.
stationarycellslocatedintheskin,lymphnodes,lungs,liverand
othertissues
e.
alloftheabove
TheheartsoundS1correspondsbestwith:
a.
Aorticvalveclosing
b.
Mitralvalveclosing
c.
Pulmonicvalveclosing
d.
Openingsnapoftheaorticvalve
e.
noneoftheabove
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TheheartsoundS2correspondsbestwith:
a.
Pulmonicvalveopening
b.
Tricuspidvalveclosing
c.
Mitralvalveopening
d.
Aorticvalveclosing
e.
noneoftheabove
Amitralstenosispatient:
a.
hasasystolicejectionmurmur
b.
hasatrialsystolicejectionintensificationofthemurmurs
c.
hasamuffledS1
d.
hasalengthenedS2OS(openingsnap)interval
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31.
32.
33.
34.
35.
36.
e.
Twooftheabove
Therespiratoryquotient:
a.
reflectstheratioofO2absorptiontoCO2removal.
b.
isadirectmeasureofO2deliverytothetissues.
c.
isnormally0.8
d.
canbeusedtocalculatetotallacticacidproduction
e.
alloftheabove
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WhichofthefollowingisNOTaparticularlyvaluablemeasurementinassessingrenal
function:
a.
BUN
b.
HgB
c.
Creatinineclearance
d.
Urineosmolality
noneoftheabove
e.
NormalawakeVO2is:
a.
138ml/min/m2
b.
210ml/min/m2
c.
340ml/min/m2
d.
660ml/min/m2
e.
noneoftheabove
AnSVO2of50percentindicateswhichofthefollowing:
a.
AdequateOxygendeliveryforaerobicmetabolism
b.
Decreasinglevelsofacidity
c.
Regionalaerobicmetabolism
d.
Lacticacidproduction
e.
Alloftheabove
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The"c"waveoftheatrialpressurecurvecorrespondswithwhichofthefollowing:
a.
Isovolumiccontraction
b.
Atrialkick
c.
LVejection
d.
Contractionofventricle
e.
noneoftheabove
Inatubeoflaminarflow,thefastestfluidvelocitieswillbeinwhichof
thefollowinglocation:
a.
Closesttothewalls
b.
1fluidlayerdistancefromthewall
c.
Inthebulkflowareatowardsthecenterofthetube
d.
Allexhibitequalvelocities
e.
noneoftheabove
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37.
38.
39.
40.
41.
42.
Whichofthefollowingis/areNOTassociatedwithturbulentflows:
a.
Increasedbloodflowvelocities
b.
Increasesinenergy
c.
Increasingshearrates
d.
Increasingpressuredrops
e.
Alloftheabove
Asteepdownslopeofanarterialpressurelinemightindicatewhichof
thefollowing:
a.
Increasedpulmonaryvascularresistance
b.
Poorcontractility
c.
Decreasedsystemicvascularresistance
d.
Hypovolumia
e.
noneoftheabove
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ABCP 2011
Whichofthefollowingpressuresshowsagoodcorrelationtoleftatrialpressure?
a.
CVP
b.
PAD
c.
PCWP
d.
LVEDP
e.
RAP
Leftventricularpreloadisrepresentedbestbywhichofthefollowing?
a.
LVEDP
b.
CVP
c.
PCPW
d.
PAD
e.
LAP
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Whichofthefollowingistrueforbloodplasma?
a.
100mg/dlofglucoseiswithinnormallimits
b.
Sodiumisthemostabundantanion
c.
Osmolarityisabout1300mosm/L
d.
Alloftheabove
e.
Normalaniongaplevelsare1517mg/dL
Renalfiltrationofbloodoccursinthe:
a.
DuctsofBellini
b.
Medulla
c.
Glomerulus
d.
Proximaltubules
e.
noneoftheabove
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43.
44.
45.
46.
47.
48.
Theportionofthecardiacoutputthatpassesthroughbothkidneysis:
a.
b.
c.
d.
e.
Calledthe"renalfraction".
Normallyabout21percent.
About1200ml/minfora70kgman.
Alloftheabove.
noneoftheabove
Therenalresponsetometabolicacidosis:
a.
Isfasterthantherespiratoryresponse.
b.
Involvesthesecretionofhydrogenionsintothetubules.
c.
ResultsinandecreaseinpH
d.
IsNOTascompleteasthechemicalbufferingsystem'sresponse
e.
noneoftheabove
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ABCP 2011
Generallyduringhypothermiaandhaemodilution,comparedtonormothermiaand
normalhaematocrit,theamountofO2carrieddissolvedinplasmawaterisa
significantlygreaterportionoftheoxygentransferbecause:
a.
ThepO2isdecreased,solubilityisincreasedandthehaematocrit
isincreased.
b.
ThepO2isincreased,thesolubilityisincreasedandthe
haematocritisdecreased.
c.
ThepO2isdecreased,thesolubilityisdecreasedandthe
haematocritisdecreased.
d.
ThepO2isdecreasedandthepCO2isincreased.
e.
noneoftheabove
RBCsexistinginalowoxygenenvironmentwillelevatethe2,3DPGlevelwithinto:
a.
Shifttheoxyhaemoglobincurvetotheleft.
b.
Increasetheaffinityofhaemoglobinwithoxygen.
c.
Decreasetheaffinityofhaemoglobinwithoxygen.
d.
Makeiteasiertooxygenatehaemoglobin.
e.
noneoftheabove
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ABCP 2011
Metabolicacidosismaybecausedby:
a.
IncreasedPaCO2
b.
Aerobicrespirationatthecellularlevel
c.
AprolongeddecreasedPvO2
d.
aandc
e.
Alloftheabove
Whichofthefollowingreliesontheelectrochemicalgradientindeterminingnet
movementofsolute:
a.
facilitateddiffusion
b.
activetransport
c.
passivetransport
d.
osmosis
e.
electrolysis
page9

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page10

49.
50.
51.
52.
53.
54.
Intowhichstructuredothecollectingtubulesterminate:
a.
cortex
b.
juxtaglomerularapparatus
c.
papilla
d.
medulla
e.
noneoftheabove
AutoregulationofGFRandRRBFoccursinthepressurerangeofwhichofthe
following:
a.
3080mmHg
b.
50120mmHg
c.
100150mmHg
d.
80200mmHg
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ThemajorityofK+secretionoccursinwhichofthefollowingstructure(s):
a.
b.
c.
d.
e.
proximaltubules
loopofHenle
distaltubules
collectingtubules
aandb
WhichofthefollowingcouldincreaseK+secretion:
a.
increasedaldosteronelevels
b.
increasedNa+secretion
c.
chronicmetabolicalkalosis
d.
useofFurosemide
e.
alloftheabove
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Whichphaseofthecardiaccyclespecificallyaccountsfor90percentof
themyocardialoxygenconsumption:
a.
systole
b.
isovolumiccontraction
c.
ejection
d.
diastolicfilling
e.
atrialfilling
Cardiacoutput(CO)isdefinedbywhichofthefollowing:
a.
Amountofbloodenteringintotheheartperminute
b.
Amountofbloodpumpedoutoftheheartperminute
c.
Amountofbloodpumpedoutoftherightandleftheart
combinedperminute
d.
Amountofbloodremainingintheheartaftereachcontraction
e.
noneoftheabove
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55.
56.
57.
58.
59.
60.
61.
Theaveragecardiacoutputformostadultsisapproximately:
a.
4LPM
b.
5LPM
c.
6LPM
d.
7LPM
e.
8LPM
Theaveragecardiacindex(CI)isapproximately:
a.
2L/min/m2
b.
3L/min/m2
c.
4L/min/m2
d.
5L/min/m2
e.
6L/min/m2
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Duringexercise,cardiacoutputandoxygenconsumption:
a.
areinverselyproportional
b.
aredirectlyproportional
c.
arenotrelated
d.
bothincreaseexponentially
e.
noneoftheabove
Anormalresponseincompensatingforhypovolaemicshockis:
a.
arteriolarconstriction
b.
venousconstriction
c.
decreasedheartrate
d.
2oftheabove____,____
e.
alloftheabove
Bloodflowis:
a.
Directlyproportionaltoperfusionpressure
b.
Inverselyproportionaltoconduitlength
c.
Inverselyproportionaltovascularresistance
d.
Inverselyproportionaltoviscosity
e.
Alloftheabove
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The"functional"capillarypressureisapproximately:
a.
50mmHg
b.
35mmHg
c.
17mmHg
d.
10mmHg
e.
8mmHg
ThemostfrequentcomplicationofadultpatientsonECLSis:
a.racewaytubingrupture
b.hypotension
c.hypertension
d.neurologicalinjury
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62.
63.
64.
65.
66.
67.
e.coagulopathy
AllofthefollowingionsareactivelyreabsorbedintheascendingloopofHenle
except:
a.
sodium
b.
potassium
c.
chloride
d.
bicarbonate
e.
alloftheabove
Reabsorptionofsodiumoccursmainlyinthe:
a.
proximaltubule
b.
distaltubule
c.
loopofHenle
collectingducts
d.
e.
alloftheabove
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Theconditioninwhichthereisanabnormallylownumberofplateletsinthebloodis
termed:
a.
hypoplataemia
b.
hypochromicanemia
c.
thrombocytopenia
d.
thrombocytosis
e.
leucopenia
Thediameterofanonactivatedplateletusuallyrangesfrom:
24mm
a.
b.
810mm
c.
1416mm
d.
2022mm
e.
24m
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Whichofthefollowingis/aretrueofthefetal/newbornheart:
a.
Moredependentonaerobicmetabolismthananaerobic
metabolism
b.
Fullydevelopedsympatheticinnervation
c.
Shorteractionpotentialsandfasterrepolarizationthantheadult
heart
d.
Greaterventricularcompliancethantheadultheart
e.
Alloftheabove
Theaveragebloodvolumeofa3kgneonateis:
a.
100200ml
b.
200250ml
c.
350400ml
450500ml
d.
e.
550600ml
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68.
69.
70.
71.
72.
73.
WhichofthefollowingisNOTafeatureoftetralogyofFallot:
a.
VSD
b.
Overridingaorta
c.
Rightventricularoutflowtract
d.
ASD
e.
RVhypertrophy
Repolarizationis:
a.
Whensodiumionsarepumpedoutofthecellandpotassiumionsare
pumpedintothecell
b.
Therecoverystate
c.
Ionicbalancesarereturningtonormal
d.
Alloftheabove
e.
Noneoftheabove
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Thefollowingpartialpressures(inmmHg),
N2=569,O2=104,CO2=40,H2O=47,arefoundin:
a.
Atmosphericair
b.
Humidifiedair
c.
Alveolarair
d.
Expiredair
e.
noneoftheabove
Allofthefollowingstatementsabouthaemoglobinaretrue,except:
a.
EachRBCcontainsapproximately280millionmoleculesof
haemoglobin
b.
Eachmoleculeofhaemoglobincontains4hemeunits
c.
Eachhemeunitcontainsoneatomofiron
d.
Eachatomofironcancombinewithoneatomofoxygen
e.
noneoftheabove
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Inpatientswithsicklecelldisease,sicklingincreaseswithallofthefollowing,
except:
Hypoxia
a.
b.
Acidosis
c.
Hyperthermia
d.
Increased2,3DPG
e.
alloftheabove
ThepositiveelectrodeofasimpleECGsetuptomonitorLeadIIisplacedat:
a.
baseoftheheart
b.
apexoftheheart
c.
belowrightbreast
belowrightclavicle
d.
e.
rightleg
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74.
75.
76.
77.
78.
79.
80.
WhichisnotacommoncauseofECGartifact:
a.
muscletremors
b.
looseelectrodes
c.
patientmovement
d.
batteryoperatedSATmonitors
e.
allarecauses
AninvertedTwavecouldbecausedbywhichofthefollowing:
a.
electrodereversal
b.
anischaemicepisode
c.
anacuteMI
d.
increasedK+
e.
noneoftheabove
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AnothernameforFactorIIIis:
a.
Tissuethrombin
b.
Hagemanfactor
c.
Tissuefactor
d.
Tissuefibrin
e.
Antihaemophiliacfactor
Aprolongedprothrombintimemaybecausedbyadeficiencyofwhichofthe
following:
a.
FactorVII
b.
FactorX
c.
FactorV
d.
Fibrinogen
e.
Prothrombin
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Thesurfaceofplateletis:
a.
positivelycharged
b.
negativelycharged
c.
neutrallycharged
d.
hasareversepolarity
e.
noneoftheabove
DiabetesInsipidusis:
a.
anadultpatientwithinsulindependentDM
b.
excretionofadilute(tasteless)urine
c.
aresultofosmoticdiuresis
d.
theinhibitionofinsulinsecretionfromthebetacellsinthepancreas
e.
noneoftheabove
WhichstatementsconcerningTypeIIDiabetesMellitusarecorrect?
a.
thoseindividualswhosediabetesdevelopedduringchildhood
b.
thoseindividualswhoarenoninsulindependent
c.
thoseadultswhodevelopedIDDMduringadulthood
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81.
82.
83.
84.
85.
86.
d.
e.
thoseindividualswhorequireinsulintotreattheirdiabetes
noneoftheabove
A70%increaseinarterialpCO2approximately____thecerebral
a.
halves
b.
doesnotchange
c.
doubles
d.
triples
e.
noneoftheabove
bloodflow.
AllofthefollowingcanbeusedasanticoagulantsforCPBexcept:
a.lowmolecularweightheparin
b.hirudin
c.ancrod
d.antithrombinIII
e.citrate
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AtanormalrestingHR,about____%oftheoxygeninthemyocardial
arterialbloodisremovedasthebloodpassesthroughtheheart.
a
.20
b.
50
c.
70
d.
90
e.
noneoftheabove
Oedemaiscausedby:
a.
decreasedcapillarypressure
b.
decreasedplasmacolloidosmoticpressure
c.
decreasedtissuecolloidosmoticpressure
d.
increasedplasmaoncoticpressure
e.
noneoftheabove
Haemolysisoccurswhentheforcesdevelopedinsqueezingthe
bloodbetweenthewallsofthepumpingchamberexceed:
a.
theafterloadinthesystemiccircuit
b.
theresistanceofthevesselwall
c.
theReynoldsnumberof2000
d.
themechanicalresistanceoftheerythrocytemembrane
e.
theviscousforcesofwholeblood
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WillemKolffisanextraordinarypioneerincardiovascularmedicinewhoamongsthis
otheraccomplishmentscontributedtothefollowing;
a.
thefirstdiscoxygenator
b.
theconceptofbubbleoxygenation
c.
thefirsttwinrollerpumppatent
d.
thefirsthaemodialyzerapparatususedtotreatahuman
e.
noneoftheabove
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87.
88.
89.
90.
91.
92.
BSAisusedinextracorporealcirculationtocalculate;
a.
cardiacoutput
b.
gastobloodflowratio
c.
cardiacindex
d.
cardiacejectionfraction
e.
cardiactimetensionindex
Toincreasethedeliveryofoxygentothepatient'stissueduringcardiopulmonary
bypass:
a.
decreasethehaematocrit
b.
increasethetissuetemperature
c.
decreasethenarcoticdose
d.
increasethebloodflowrate
e.
decreasetheFiO2
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Thefollowingcoronaryarteriesmaybebranchesoftherightcoronaryartery.
a.
LAD
b.
posteriordescendingartery
c.
circumflex
d.
aandb
e.
aandc
WhichofthefollowingisnotavitaminKdependentclottingfactor?
a.II
b.V
c.VII
d.IX
e.X
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Duringtheroutineinitiationofcardiopulmonarybypass,thevenousreservoir
volumeisanindirectindicatorof:
a.
thevolumeinthepatient
b.
theamountoftimebeforeyoucollapsethereservoirorpumpair
c.
thearterialbloodpressure
d.
thepatient'swellbeing
e.
theadequacyofperfusion
Increasingthevelocityofbloodflowthroughabloodoxygenator:
a.
increasesbloodpathmembraneboundarylayers.
b.
causeless"secondaryflow".
c.
decreasesbloodpathmembraneboundarylayers.
d.
doesnotaffectbloodpathmembraneboundarylayers.
e.
doesnotaffect"secondaryflow".
page17

93.
94.
95.
96.
97.
98.
"Secondaryflow"inbloodoxygenatorsis;
a.
gentleturbulence.
b.
employedtodecreaseoxygenationcapability.
c.
usedtobreakuplaminarflowboundarylayers.
d.
aandc
e.
alloftheabove
Decreasingapatient'stissuetemperatureabout10oCwill
approximatelydecreasethepatient'sneedforoxygenabout
a.
25%
b.
75%
c.
50%
d.
10%
e.
50%
Copyright
ABCP 2011
Duringcardiopulmonarybypass,whenthepatient'stissuedoesnotreceiveenough
O2tomeetthemetabolicconsumptionofO2,
a.
lacticacidmaybeproduced
b.
thebicarbonateionconcentrationmayrise
c.
thebicarbonateionconcentrationmayfall
d.
aandb
e.
aandc
During"partial"cardiopulmonarybypass
a.
thepatient'sheartandlungsareprocessingaportionofthesystemic
venousreturn
b.
theextracorporealcirculationisprocessingaportionofthevenousreturn
c.
thetotalbloodflowintheperipheralaortaisthesumoftheleftventricular
cardiacoutputandtheextracorporealcirculationbloodflow
d.
theAVcannulationsitesmayvaryfromperipheraltocentral,andthechest
maybeopenorclosed
e.
alloftheabove
Copyright
ABCP 2011
Dramaticallyincreasingthegassweeprateduringcardiopulmonarybypassusinga
membraneoxygenatorwillprobably
a.
lowerthearterialbloodpCO2andraisethepH
b.
raisethearterialbloodpCO2andlowerthepH
c.
lowerthearterialpO2
d.
aandb
e.
aandc
InaPottsshunt,thefollowingcommunicationiscreated:
a.
AortatoPA
b.
SuperiorvenacavatorightPA
c.
AscendingaortatorightPA
d.
DescendingaortatoleftPA
page18

99.
100.
101.
102.
104.
103.
e.
noneoftheabove
AllofthefollowingaretypesofASDs,except:
a.
Primumdefect
b.
Endocardialcushiondefect
c.
Infundibulardefect
d.
Sinusvenosusdefect
e.
Secundum
TheLecomptesurgicalprocedurehasthefollowingfeature:
a.
AscendingaortabehindPAbifurcation
b.
AscendingaortalateraltorightPA
c.
PAisplacedbehindaorta
d.
AorticarchisattachedtoPA
e.
noneoftheabove
Copyright
ABCP 2011
AllofthefollowingappliestoDiprivan(propofol)except:
a.
sedativehypnotic
b.
shortacting
c.
earlierextubationthanpatientstreatedwithversed
d.
stronganalgesic
e.
reportedtodecreaseoxygenatorfunction
Duringdeephypothermiccirculatoryarrest,allofthefollowingmaybegiven
except:
a.
thiopental
b.
methylprednisone
c.
mannitol
d.
glucose
e.
musclerelaxant
Copyright
ABCP 2011
Thedegreeofspallationrelatesdirectlytowhichofthefollowing:
a.Speedoftherollerpump
b.Occlusivenessoftherollerpump
c.Tubingsize
d.Tubingtype
e.alloftheabove
Heparinseffectonanticoagulationismediatedthrough.
a.
plateletfactorIII
b.
calcium
c.
ATIII
d.
cofactorIII
e.
candd
page19

105.
106.
107.
Allofthefollowingareanticoagulantsexcept:
a.
lowmolecularweightheparin
b.
hirudin
c.
ancrod
d.
desmopressin
e.
noneoftheabove
ProperIntraAorticBalloonPumppositioningshouldplacethetipof
theballoon:
a.
justdistaltotherightsubclavianartery
b.
justproximaltotheleftcommoncarotidartery
c.
approximately5cmdistaltotherightinnominate
d.
justdistaltotheleftsubclavianartery
e.
inthecentrallumenoftheaorta
Copyright
ABCP 2011
Asinglemonitordeterminationfortheanalysisoftheadequacyofperfusionwould
be:
venousoxygensaturation
a.
b.
arterialoxygensaturation
c.
arterialpH
d.
arterialreservoirvolume
e.
meanarterialpressure
108.
__________Lawstatesthatthevolumeofagasataconstant
temperatureisequalinverselyproportionaltothepressure:
a.
Henrys
b.
Boyles
c.
Charles
d.
Daltons
GayLussacs
e.
109.
_________Lawstatesthatthepartialpressureofagasinsolution
isequaltothepressurethatthegaswouldexertifitoccupiedthetotal
volumeofamixture:
a.
Henrys
b.
Boyles
c.
Charles
d.
Daltons
e.
GayLussacs
110.
Autologousbloodtransfusionresultsinallofthefollowing
advantages,except:
a.
Decreaseshomologousplasmaandplateletuse
b.
Decreaseshomologousredbloodcelluse
c.
NonImmunogenic
d.
Decreasesriskoftransmittingbloodbornediseasetorecipient
Copyright
ABCP 2011
page20

111.
112.
113.
114.
e.
PreservesO2carryingcapacity
Thedriprateforanticoagulantsusedinautotransfusionshouldbe:
a.
15ccper100ccblood
b.
20ccper100ccblood
c.
30ccper100ccblood
d.
1ccper12ccblood
e.
3ccper12ccblood
Autotransfusioncanbeusedinallofthefollowing,except:
a.
Gynecologicalprocedures
b.
Totalhipreplacements
c.
Jehovahwitnesses
d.
Gunshotwoundstotheabdomen
e.
Bluntchesttrauma
Copyright
ABCP 2011
Ultrafiltratorsaredevicesthataremadefromallofthefollowing
materials,except:
polysulphone
a.
b.
polypropylene
c.
polyacryonlite
d.
silicone
e.
Noneoftheabove
Haemofiltrationorultrafiltrationconservesthefollowingbloodcomponent(s),
whereasthiscomponent(s)isprobablylostincellcentrifugationandwashing:
a.
plasmaproteinsincludingclottingfactors
b.
whitebloodcells
c.
platelets
d.
a.andc.
e.
alloftheabove
115.
Theusualultrafiltratorsallowmoleculesupto______toundergo
ultrafiltration:
a.
50angstroms
b.
200microns
c.
300ml
d.
20,000Daltons
e.
2,000Daltons
116. ThegreatestdecreaseinplateletcountoccursatwhatpointduringCPB:
a.
Firstfewminutes
b.
Duringischaemicperiod
c.
Duringreperfusion
d.
Thedecreaseisconstantthroughoutcardiopulmonarybypass
e.
plateletcountdoesntdrop
Copyright
ABCP 2011
page21

117.
118.
119.
120.
Whichofthefollowingisdeemedtobethemostsignificantfactorinbloodcell
traumaduringcardiopulmonarybypass:
a.
Arterialcannuladesign
b.
Pulsatileflow
c.
Cardiotomysuction
d.
Oxygenatordesign
e.
MAP
Whichofthefollowingdoesnotcontributetobloodcelltrauma:
a.
Shearstress
b.
Wallimpact
c.
Surfacetension
d.
Viscosity
e.
Alldocontribute
Allofthefollowingstatementsstatementsaboutheparinaretrue,except:
a.
b.
c.
d.
e.
Copyright
ABCP 2011
Itisstronglyacidic
Dissolvesexistingclots
StimulatesantithrombinIIIactivation
InhibitstheactionoffactorsIXandXI
Heparinhasthehalflifeofapproximately11.5hours
WhichofthefollowingisaphysiologicresultofIntraAorticBalloon
Pumpdeflation:
a.
increasedpressureheadintheaorta
b.
decreasedleftventricularwalltension
c.
increasedperfusionofarchvessels
d.
greatlydecreaseddynamicwork
e.
increasedrenalperfusion
Copyright
ABCP 2011
page22

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Australasian Board Of Cardiovascular Perfusion

Australasian Diploma of Perfusion

Part 2 Multiple Choice

Write your answers on the enclosed answer sheet.

Australasian Board Of Cardiovascular Perfusion

Australasian Board Of Cardiovascular Perfusion

Australasian Board Of Cardiovascular Perfusion

Australasian Board Of Cardiovascular Perfusion

Australasian Board Of Cardiovascular Perfusion

Australasian Board Of Cardiovascular Perfusion

Australasian Board Of Cardiovascular Perfusion

Australasian Board Of Cardiovascular Perfusion

Australasian Board Of Cardiovascular Perfusion

Australasian Board Of Cardiovascular Perfusion

Australasian Board Of Cardiovascular Perfusion

Australasian Board Of Cardiovascular Perfusion

Australasian Board Of Cardiovascular Perfusion

Australasian Board Of Cardiovascular Perfusion

Australasian Board Of Cardiovascular Perfusion

Australasian Board Of Cardiovascular Perfusion

Australasian Board Of Cardiovascular Perfusion

Australasian Board Of Cardiovascular Perfusion

Australasian Board Of Cardiovascular Perfusion

Australasian Board Of Cardiovascular Perfusion

Australasian Board Of Cardiovascular Perfusion

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