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1. Identify the Personality........……
2. The Thromboelastograph (TEG) can give information…..Except
a. The coagulation factor activation
b. The coagulation factor amplification
c. The platelet aggregation
d. Fibrinolysis
e. Platelet adhesion to the collagen matrix
3. Cerebral blood flow changes by how much per mmHg change in pCO2?
a. 0.4%
b. 1%
c. 4%
d. 10%
e. 12%
4. Whole blood stored at 4 degree centigrade for 21 days shows decrease in coagulation factors:
a. V
b. VII
d. X
e. a and b
f. a and c
g. a and d
h. All above
5. Drugs causing thrombocytopenia
a. Thiazide diuretics
b. Penicillins
c. Quinine
d. Rifampicin
e. Sulfonamides
f. anti-convulsants
g. heparin
h. all above
6. Fluids with half-life more than 4 hours
a. Haemaccel (3.5% gelatin)
b. 5% albumin
c. Dextran 40
d. Dextran 70
e. a and b
f. c and d
g. b and c
h. All above
7. ABGs including pH 7.46, bicarbonate 31mmol/L, pCO2 46mmHg indicate
a. Metabolic alkalosis with respiratory compensation
b. Respiratory alkalosis
c. Respiratory acidosis with compensation
d. Metabolic acidosis with respiratory compensation
e. Mixed metabolic and respiratory alkalosis
8. With respect to correct timing of intra aortic balloon pump, which is wrong statement
a. Aim for a peak diastolic pressure equal or greater than systolic pressure
b. The assisted systolic pressure should be less than the unassisted systolic pressure
c. The assisted end diastolic pressure should be less than the unassisted end diastolic pressure
d. Time inflation to slightly later than the dicrotic notch on the radial artery
9. Cardioplegia - mechanism of arrest in diastole
a. Hyperpolarisation of membrane by high [K]
b. Sodium channel block due to depolarisation caused by high concentration of K+
c. Hypothermia from cold solution
d. Reduced calcium entry into the cell due to low calcium in plegia solution
10. The transplanted heart
a. May be two P waves on ECG
b. Not responsive to adrenaline or isoprenaline
c. The heart does not respond to preload by the normal Starling mechanism
d. Arrhythmias unlikely
e. Resting bradycardia
11. What is the optimum haematocrit for maximal cerebral perfusion? / oxygenation ?
a. 15%
b. 20%
c. 25%
d. 30%
e. 35%
12. Rapid infusion of 2L of normal saline causes:
a. increased ECF, increased ICF, decreased [Na]
b. increased ECF, unchanged ICF, increased [Na]
c. unchanged ECF, increased ICF, increased [Na]
d. increased ECF, unchanged ICF, unchanged [Na]
13. Which physical law relates to the function of rotameters?
a. Avogadro's law
b. Henry's law
c. Poiseuille's law
d. Graham's law
e. Bernoulli's law
14. Systemic vascular resistance index (SVRI)
a. SVR x Body surface area
b. SVR / BSA
c. (MAP - CVP) / cardiac output
d. None of the above
e. All above
15. Which of the following are basic SI units?
a. Watt
b. Meter
c. Gram
d. Ampere
e. a and c
f. a and b
g. b and d
h. all above
i. non of the above
16. The partial pressure of oxygen in dry air at sea level:
a. 163mmHg
b. 159mmHg
c. 149mmHg
d. 100mmHg
17. Carbon dioxide carriage
a. 10% dissolved
b. 30% carbamino
c. 85% bicarbonate
d. 60% bicarbonate
e. Non of the above
18. In a normal cardiac cycle
a. RA ejection precedes LA ejection
b. RV contraction starts before LV contraction
c. LV ejection starts before RV ejection
d. Pulmonary valve closes before aortic valve
e. Aortic valve closes after pulmonary valve in expiration
19. In a normal heart at rest the LV end-systolic volume is
a. 10 to 30 mls
b. 50 to 70 mls
c. 120 to 150 mls
d. 175 to 250 mls
20. Local metabolic control is most important is determining flow to
a. Skin
b. Lung
c. Skeletal muscle
d. Kidney
e. Liver
21. The atrial component of ventricular filling
a. 5%
b. 10%
c. 30%
d. 50%
e. 80%
22. Blood flow at rest is most for
a. Brain
b. Liver
c. Kidney
d. Heart
e. Skin
f. Skeletal muscle
23. Water handling by kidney (% reabsorption)
a. 93%
b. 94%
c. 99%
d. 99.4%
e. 99.9%
24. The infusion of 100 ml of 25% albumin causes the plasma volume to increase by
a. 250 mls
b. 350 mls
c. 450 mls
d. 550 mls
25. Sensitive haemodynamic parameter indicatinghypovolaemia:
a. Systolic pressure variability/ swing
c. CVP
d. Hypotension
e. Tachycardia