COMPLETE QUESTIONS AND CORRECT
ANSWERS RATED A+
Given a pre-operative creatinine of 2.4 mg/dL, this patient has
approximately what percentage of normal renal function?
A. 20%.
B. 40%.
C. 60%.
D. 80%. Correct Answer B. 40%.
The patient is a 67 year-old male weighing 102 Kg who has been
previously diagnosed with coronary artery disease, an apical left
ventricular aneurysm, and chronic renal failure. Laboratory values
from the referring hospital indicate a BUN of 62 mg/dL and a
creatinine of 2.4 mg/dL. Thirty (30) minutes after initiating CPB, it
is noted that urine output has decreased significantly.
Which of the following modifications in perfusion technique could
be used to enhance urine output?
A. administration of a chlorpromazine to increase renal blood flow.
B. priming the circuit with a hypertonic solution.
C. use of a hemoconcentrator.
D. utilizing a pulsatile flow pump Correct Answer D. utilizing a
pulsatile flow pump
,The patient is a 67 year-old male weighing 102 Kg who has been
previously diagnosed with coronary artery disease, an apical left
ventricular aneurysm, and chronic renal failure. Laboratory values
from the referring hospital indicate a BUN of 62 mg/dL and a
creatinine of 2.4 mg/dL. Thirty (30) minutes after initiating CPB, it
is noted that urine output has decreased significantly.
The most effective intervention in treating acute hyperkalemia
after removal of the aortic clamp would be: A. ultrafiltration.
B. administering 1 mg/kg of butanenide.
C. administering dextrose and insulin. D. beginning a 3 ug/kg
dopamine drip Correct Answer C. administering dextrose and
insulin.
The patient is a 67 year-old male weighing 102 Kg who has been
previously diagnosed with coronary artery disease, an apical left
ventricular aneurysm, and chronic renal failure. Laboratory values
from the referring hospital indicate a BUN of 62 mg/dL and a
creatinine of 2.4 mg/dL. Thirty (30) minutes after initiating CPB, it
is noted that urine output has decreased significantly.
A hemodialyzer differs primarily from a hemoconcentrator in:
A. size and number of pores.
B. effective surface area.
C. maximum allowed transmembrane pressure.
,D. ability to remove urea nitrogen. Correct Answer A. size and
number of pores.
The patient is a 67 year-old male weighing 102 Kg who has been
previously diagnosed with coronary artery disease, an apical left
ventricular aneurysm, and chronic renal failure. Laboratory values
from the referring hospital indicate a BUN of 62 mg/dL and a
creatinine of 2.4 mg/dL. Thirty (30) minutes after initiating CPB, it
is noted that urine output has decreased significantly.
Total clearance of urea and creatinine by an ultrafiltrator:
A. is identical.
B. is not affected by temperature.
C. increases with increasing hematocrit.
D. is proportional to their sieving coefficients. Correct Answer D. is
proportional to their sieving coefficients.
The patient is a 67 year-old male weighing 102 Kg who has been
previously diagnosed with coronary artery disease, an apical left
ventricular aneurysm, and chronic renal failure. Laboratory values
from the referring hospital indicate a BUN of 62 mg/dL and a
creatinine of 2.4 mg/dL. Thirty (30) minutes after initiating CPB, it
is noted that urine output has decreased significantly.
Upon wearing from CPB, the following are observed:
Cardiac Index: 1.71min/m2
Arterial blood pressure: 80/45mmHg
, PA pressure: 60/35mmHg
Pulmonary wedge pressure: 30mmHg
Central venous pressure: 15mmHg
The above data are suggestive of:
A. inadequate preload.
'B. increased afterload.
C. biventricular failure.
D. left heart failure Correct Answer D. left heart failure
The patient is a 67 year-old male weighing 102 Kg who has been
previously diagnosed with coronary artery disease, an apical left
ventricular aneurysm, and chronic renal failure. Laboratory values
from the referring hospital indicate a BUN of 62 mg/dL and a
creatinine of 2.4 mg/dL. Thirty (30) minutes after initiating CPB, it
is noted that urine output has decreased significantly.
Upon wearing from CPB, the following are observed:
Cardiac Index: 1.71min/m2
Arterial blood pressure: 80/45mmHg
PA pressure: 60/35mmHg
Pulmonary wedge pressure: 30mmHg
Central venous pressure: 15mmHg