Exam QUESTIONS AND ANSWERS
/. An advantage of continuous warm blood cardioplegia is:
A. Increased oxygen delivery
B. Significantly decreased myocardial oxygen tension.
C. A shift of the oxygen dissociation curve to the left.
D. Lower myocardial oxygen consumption - Answer-✅increased oxygen delivery
/.Intra-aortic ballon augmentation is contraindicated in patients with:
A. prosthetic aortic valves
B. aortic insufficiency
C. ventricular septal defects
D. peripheral atherosclerosis - Answer-✅aortic insufficiency
/.When using a roller pump, aortic dissection caused by the aortic cannula my be
detected by:
A. elevated venous return
B. elevated arterial line pressure
C. elevated left radial artery pressure
D. increased venous saturation - Answer-✅elevated arterial line pressure
/.The most significant advantage of venovenous ECMO over venoarterial ECMO is:
A. improved cardiac support
B. unaffected pulmonary hemodynamics
C. superior arterial oxygenation
D. reduced pulmonary blood flow - Answer-✅unaffected pulmonary hemodynamics
/.The rate of water extraction using an ultrafiltration device is dependent upon all of the
following EXCEPT:
A. number, depth, and diameter of membrane pores.
B. transmembrane pressure
C. electrolyte concentration
D. blood flow rate - Answer-✅electrolyte concentration
, /.When compared to true membranes, hydrophobia microporous membrane
oxygenators may exhibit which of the following characteristics?
A. increased oxygen transfer
B. fluid passage to the gas compartment
C. decreased carbon dioxide transfer
D. reduced surface boundary layer - Answer-✅fluid passage to the gas compartment
/.A low venous oxygen saturation may indicate all EXCEPT which of the following:
A. increased oxygen utilization
B. inadequate pump output
C. failure of the oxygenator to oxygenate the blood
D. A-V shunting - Answer-✅A-V shunting
/.Polyvinyl Chloride tubing in the roller pump usually deteriorates by:
A. crumbling away from the outside in
B. crumbling away from the inside out
C. cracking and breaking from the outer edge in
D. cracking and breaking from the inner edge out - Answer-✅cracking and breaking
from the outer edge in
/.The theoretical advantage of blood cardioplegia over crystalloid is evidenced by all the
following EXCEPT:
A. greater preservation of myocardial high energy phosphates.
B. greater myocardial oxygen utilization
C. greater accumulation of myocardial lactate
D. reduced cardiac enzyme release in the immediate post-operative period - Answer-
✅greater accumulation of myocardial lactate
/.Activated Factor X is the first step in which of the following coagulation stages?
A. intrinsic pathway
B. common pathway
C. waterfall sequence
D. extrinsic pathway - Answer-✅common pathway
/.Under normal physiological conditions, which organ has the lowest oxygen
consumption per unit weight?
A. brain
B. kidney
C. lungs
D. liver - Answer-✅kidney