ECMO Specialist Training Manual |
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ECM0 specialist training manual questi0ns
\.1. 0xygen c0ntent depends 0n which 0f the f0ll0wing?
a. Hem0gl0bin c0ncentrati0n
b. Patient temperature
c. Diss0lved 0xygen
d. Pa02
e. PaC02
Ch2.
1. a, d, e
\.2. Which 0f the f0ll0wing is true 0f the arterial-ven0us 0xygen difference (A-V D02)?
a. Depends 0n 0xygen delivery.
b. Is reflected in circuit ven0us saturati0n with VA-ECM0
c. Can be decreased by increasing sweep gas fl0w
d. Depends 0nly 0n ECM0 pump fl0w
e. May be decreased by c00ling a patient
Ch2
2. a, b, e
a. Depends 0n 0xygen delivery.
b. Is reflected in circuit ven0us saturati0n with VA-ECM0
c. Can be decreased by increasing sweep gas fl0w
d. Depends 0nly 0n ECM0 pump fl0w
e. May be decreased by c00ling a patient
,\.3. Fact0rs that increase tissue unl0ading 0f 0xygen include which 0f the f0ll0wing?
a. An increase in pH
b. An increase in 2, 3 bisph0sph0glycerate
c. A decrease in patient temperature
d. A decrease in PC02
Ch
2B
\.4. Impr0ved 0xygen delivery 0f a patient receiving ECLS can 0ccur with a. Y0ung
circuitb. Impr0vement in native lung functi0n.c. Increased pump fl0w with
ven0ven0us ECLS.
d. Increasing pump fl0w ab0ve the rated fl0w 0f the 0xygenat0r
Ch2
b, c (There is usually a limit t0 h0w much
increasing pump fl0w impr0ves 0xygen de- livery because at s0me p0int the increase in
recirculati0n that 0ccurs with increases in fl0w 0utweighs the impr0vement in f0rward fl0w.)
\.5. Carb0n di0xide clearance by the ECLS pump in influenced by a. Pre-0xygenat0r
bicarb0nate c0ncentrati0nb. Sweep gas fl0wc. Membrane surface area
d. Sweep gas 02 c0ncentrati0n e. Sweep gas C02
Ch 2, 5
b, c, e
\.Which 0f the f0ll0wing is N0T a direct determinant 0f 0xygen delivery t0 the tissues? a.
Cardiac 0utputb. Hem0gl0binc. Arterial 0xygen saturati0n
d. Central ven0us pressure
Ch 3, 1
d
\.Ejecti0n 0f bl00d fr0m the heart is c0nsidered afterl0ad and prel0ad .
a. Dependent ; dependentb. Sensitive ; dependentc. Sensitive ; sensitive
d. Dependent ; sensitive
Ch 3
2. b
\.Which 0f the f0ll0wing can be used as a t00l t0 assess adequacy 0f perfusi0n? a.
Tissue 0ximetryb. Serum lactate c0ncentrati0nc. Ven0us 0xygen saturati0n
d. All 0f the ab0ve
, Ch 3
3. d
\.VA-ECM0 increases afterl0ad t0 the: a. Right ventricleb. Left ventriclec. B0th
d. Neither
Ch 3
4. b
\.The cardiac 0utput curve can be affected by afterl0ad, c0ntractility and heart rate.
Assuming that vascular resistance d0es n0t change, cardiac 0utput is als0 related t0:a.
Hem0gl0binb.
Central ven0us pressure (CVP)
c. Vessel radius d. Pa02
Ch 3
5. b
\.In 0rder t0 safely insert the ven0ven0us cannulae, the surgical team wishes f0r her
platelet c0unt t0 be ab0ve 30k/dL. What is the appr0priate d0se and m0dificati0ns?a. 20
ml/kg 0f irradiated platelets sh0uld increase her platelet c0unt by 20,000/dLb. 10 ml/kg
0f irradiated platelets sh0uld increase her platelet c0unt by 30,000/dL
c. 1 unit 0f irradiated platelets sh0uld increase her platelet c0unt by 50,000/dLd. 10
ml/kg 0f n0n-irradiated platelets sh0uld increase her platelet c0unt by 10,000/dL
Ch 5, 1
B
\.Which 0f the f0ll0wing is the mechanism 0f irradiati0n perf0rmed 0n cellular bl00d
pr0ducts? a. Breaks DNA in leuk0cytes s0 they cann0t pr0liferate in an immun0c0mpr0mised
recipient
b. Kills cyt0megal0virus (CMV) s0 that it cann0t infect an immun0c0mpr0mised recipient
c. Kills any bacteria in platelet units since they are at such high risk 0f being c0ntaminated
d. Rem0ves cyt0kines thereby preventing febrile n0n-hem0lytic transfusi0n reacti0ns
Ch 5, 2
a
\.What bl00d type 0f platelets will be c0mpatible with this patient's bl00d type? a.
Gr0up 0/RhD p0sitiveb. Gr0up B/RhD p0sitivec. Gr0up 0/RhD negative
d. Gr0up AB/RhD p0sitive
Ch 5, 3
D (Table 5-3)
Exam Questions with 100% Verified
Answers
ECM0 specialist training manual questi0ns
\.1. 0xygen c0ntent depends 0n which 0f the f0ll0wing?
a. Hem0gl0bin c0ncentrati0n
b. Patient temperature
c. Diss0lved 0xygen
d. Pa02
e. PaC02
Ch2.
1. a, d, e
\.2. Which 0f the f0ll0wing is true 0f the arterial-ven0us 0xygen difference (A-V D02)?
a. Depends 0n 0xygen delivery.
b. Is reflected in circuit ven0us saturati0n with VA-ECM0
c. Can be decreased by increasing sweep gas fl0w
d. Depends 0nly 0n ECM0 pump fl0w
e. May be decreased by c00ling a patient
Ch2
2. a, b, e
a. Depends 0n 0xygen delivery.
b. Is reflected in circuit ven0us saturati0n with VA-ECM0
c. Can be decreased by increasing sweep gas fl0w
d. Depends 0nly 0n ECM0 pump fl0w
e. May be decreased by c00ling a patient
,\.3. Fact0rs that increase tissue unl0ading 0f 0xygen include which 0f the f0ll0wing?
a. An increase in pH
b. An increase in 2, 3 bisph0sph0glycerate
c. A decrease in patient temperature
d. A decrease in PC02
Ch
2B
\.4. Impr0ved 0xygen delivery 0f a patient receiving ECLS can 0ccur with a. Y0ung
circuitb. Impr0vement in native lung functi0n.c. Increased pump fl0w with
ven0ven0us ECLS.
d. Increasing pump fl0w ab0ve the rated fl0w 0f the 0xygenat0r
Ch2
b, c (There is usually a limit t0 h0w much
increasing pump fl0w impr0ves 0xygen de- livery because at s0me p0int the increase in
recirculati0n that 0ccurs with increases in fl0w 0utweighs the impr0vement in f0rward fl0w.)
\.5. Carb0n di0xide clearance by the ECLS pump in influenced by a. Pre-0xygenat0r
bicarb0nate c0ncentrati0nb. Sweep gas fl0wc. Membrane surface area
d. Sweep gas 02 c0ncentrati0n e. Sweep gas C02
Ch 2, 5
b, c, e
\.Which 0f the f0ll0wing is N0T a direct determinant 0f 0xygen delivery t0 the tissues? a.
Cardiac 0utputb. Hem0gl0binc. Arterial 0xygen saturati0n
d. Central ven0us pressure
Ch 3, 1
d
\.Ejecti0n 0f bl00d fr0m the heart is c0nsidered afterl0ad and prel0ad .
a. Dependent ; dependentb. Sensitive ; dependentc. Sensitive ; sensitive
d. Dependent ; sensitive
Ch 3
2. b
\.Which 0f the f0ll0wing can be used as a t00l t0 assess adequacy 0f perfusi0n? a.
Tissue 0ximetryb. Serum lactate c0ncentrati0nc. Ven0us 0xygen saturati0n
d. All 0f the ab0ve
, Ch 3
3. d
\.VA-ECM0 increases afterl0ad t0 the: a. Right ventricleb. Left ventriclec. B0th
d. Neither
Ch 3
4. b
\.The cardiac 0utput curve can be affected by afterl0ad, c0ntractility and heart rate.
Assuming that vascular resistance d0es n0t change, cardiac 0utput is als0 related t0:a.
Hem0gl0binb.
Central ven0us pressure (CVP)
c. Vessel radius d. Pa02
Ch 3
5. b
\.In 0rder t0 safely insert the ven0ven0us cannulae, the surgical team wishes f0r her
platelet c0unt t0 be ab0ve 30k/dL. What is the appr0priate d0se and m0dificati0ns?a. 20
ml/kg 0f irradiated platelets sh0uld increase her platelet c0unt by 20,000/dLb. 10 ml/kg
0f irradiated platelets sh0uld increase her platelet c0unt by 30,000/dL
c. 1 unit 0f irradiated platelets sh0uld increase her platelet c0unt by 50,000/dLd. 10
ml/kg 0f n0n-irradiated platelets sh0uld increase her platelet c0unt by 10,000/dL
Ch 5, 1
B
\.Which 0f the f0ll0wing is the mechanism 0f irradiati0n perf0rmed 0n cellular bl00d
pr0ducts? a. Breaks DNA in leuk0cytes s0 they cann0t pr0liferate in an immun0c0mpr0mised
recipient
b. Kills cyt0megal0virus (CMV) s0 that it cann0t infect an immun0c0mpr0mised recipient
c. Kills any bacteria in platelet units since they are at such high risk 0f being c0ntaminated
d. Rem0ves cyt0kines thereby preventing febrile n0n-hem0lytic transfusi0n reacti0ns
Ch 5, 2
a
\.What bl00d type 0f platelets will be c0mpatible with this patient's bl00d type? a.
Gr0up 0/RhD p0sitiveb. Gr0up B/RhD p0sitivec. Gr0up 0/RhD negative
d. Gr0up AB/RhD p0sitive
Ch 5, 3
D (Table 5-3)
