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Australasian Board Of Cardiovascular Perfusion

Australasian Diploma of Perfusion

Copyright
ABCP 2011
February 2011

Final Examinations

Part 2 Multiple Choice


(2 Hours)

_____________________________________

Copyright
ABCP 2011
N.B.

Write your answers on the enclosed answer sheet.


All questions have equal marks.

Australasian Board Of Cardiovascular Perfusion


Australasian Diploma of Perfusion
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

Australasian Board Of Cardiovascular Perfusion


Australasian Diploma of Perfusion
Final Examinations: Part 2 Multiple Choice

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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ABCP 2011

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%

ABCPFinalExam2011Part2MultipleChoice

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Australasian Board Of Cardiovascular Perfusion


Australasian Diploma of Perfusion
Final Examinations: Part 2 Multiple Choice

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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ABCP 2011

Whichofthefollowingistrueofrespiration:
a.
Intrapleuralpressureisapproximately5mmHgpriorto

expiration.
b.
Subatmosphericpressureexistsinthelungandchestwallprior

toinspiration.

c.
Thecontractionofthediaphragmincreasesthoraciccavity

volume.
d.
Expirationoccurswhenatmosphericpressureslightlyexceeds

intrapleuralpressure.
e.
2oftheabove

ABCPFinalExam2011Part2MultipleChoice

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Australasian Board Of Cardiovascular Perfusion


Australasian Diploma of Perfusion
Final Examinations: Part 2 Multiple Choice

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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ABCP 2011

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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ABCP 2011

Therelationshipbetweenoxygenconsumptionandoxygendelivery
canbechangedduringCPBbymanipulatingthe:
a.
Haemoglobin
b.
Pumpflow
c.
FiO2
d.
PostoxygenatorPO2
e.
Alloftheabove.

Duringthelatterpartofgestationandafterbirth,redbloodcellsareproducedby:
a.
bonemarrow
b.
liver
c.
spleen
d.
lymphnodes
e.
noneoftheabove

ABCPFinalExam2011Part2MultipleChoice

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Australasian Board Of Cardiovascular Perfusion


Australasian Diploma of Perfusion
Final Examinations: Part 2 Multiple Choice

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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ABCP 2011

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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ABCP 2011

TheheartsoundS2correspondsbestwith:
a.
Pulmonicvalveopening
b.
Tricuspidvalveclosing
c.
Mitralvalveopening
d.
Aorticvalveclosing
e.
noneoftheabove

Amitralstenosispatient:
a.
hasasystolicejectionmurmur
b.
hasatrialsystolicejectionintensificationofthemurmurs
c.
hasamuffledS1
d.
hasalengthenedS2OS(openingsnap)interval

ABCPFinalExam2011Part2MultipleChoice

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Australasian Board Of Cardiovascular Perfusion


Australasian Diploma of Perfusion
Final Examinations: Part 2 Multiple Choice

31.

32.

33.

34.

35.

36.

e.

Twooftheabove

Therespiratoryquotient:
a.
reflectstheratioofO2absorptiontoCO2removal.
b.
isadirectmeasureofO2deliverytothetissues.
c.
isnormally0.8
d.
canbeusedtocalculatetotallacticacidproduction
e.
alloftheabove

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ABCP 2011

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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ABCP 2011

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

ABCPFinalExam2011Part2MultipleChoice

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Australasian Board Of Cardiovascular Perfusion


Australasian Diploma of Perfusion
Final Examinations: Part 2 Multiple Choice

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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ABCP 2011

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

ABCPFinalExam2011Part2MultipleChoice

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Australasian Board Of Cardiovascular Perfusion


Australasian Diploma of Perfusion
Final Examinations: Part 2 Multiple Choice

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

ABCPFinalExam2011Part2MultipleChoice

page9

Australasian Board Of Cardiovascular Perfusion


Australasian Diploma of Perfusion
Final Examinations: Part 2 Multiple Choice

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ABCP 2011

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ABCP 2011

ABCPFinalExam2011Part2MultipleChoice

page10

Australasian Board Of Cardiovascular Perfusion


Australasian Diploma of Perfusion
Final Examinations: Part 2 Multiple Choice

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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ABCP 2011

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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ABCP 2011

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

ABCPFinalExam2011Part2MultipleChoice

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Australasian Board Of Cardiovascular Perfusion


Australasian Diploma of Perfusion
Final Examinations: Part 2 Multiple Choice

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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ABCP 2011

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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ABCP 2011

The"functional"capillarypressureisapproximately:
a.
50mmHg
b.
35mmHg
c.
17mmHg
d.
10mmHg
e.
8mmHg

ThemostfrequentcomplicationofadultpatientsonECLSis:
a.racewaytubingrupture
b.hypotension
c.hypertension
d.neurologicalinjury

ABCPFinalExam2011Part2MultipleChoice

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Australasian Board Of Cardiovascular Perfusion


Australasian Diploma of Perfusion
Final Examinations: Part 2 Multiple Choice

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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ABCP 2011

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

ABCPFinalExam2011Part2MultipleChoice

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Australasian Board Of Cardiovascular Perfusion


Australasian Diploma of Perfusion
Final Examinations: Part 2 Multiple Choice

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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ABCP 2011

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

ABCPFinalExam2011Part2MultipleChoice

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Australasian Board Of Cardiovascular Perfusion


Australasian Diploma of Perfusion
Final Examinations: Part 2 Multiple Choice

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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ABCP 2011

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

ABCPFinalExam2011Part2MultipleChoice

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Australasian Board Of Cardiovascular Perfusion


Australasian Diploma of Perfusion
Final Examinations: Part 2 Multiple Choice

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

ABCPFinalExam2011Part2MultipleChoice

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Australasian Board Of Cardiovascular Perfusion


Australasian Diploma of Perfusion
Final Examinations: Part 2 Multiple Choice

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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ABCP 2011

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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ABCP 2011

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".

ABCPFinalExam2011Part2MultipleChoice

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Australasian Board Of Cardiovascular Perfusion


Australasian Diploma of Perfusion
Final Examinations: Part 2 Multiple Choice

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%

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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

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ABCP 2011

Dramaticallyincreasingthegassweeprateduringcardiopulmonarybypassusinga
membraneoxygenatorwillprobably
a.
lowerthearterialbloodpCO2andraisethepH
b.
raisethearterialbloodpCO2andlowerthepH
c.
lowerthearterialpO2
d.
aandb
e.
aandc

InaPottsshunt,thefollowingcommunicationiscreated:
a.
AortatoPA
b.
SuperiorvenacavatorightPA
c.
AscendingaortatorightPA
d.
DescendingaortatoleftPA

ABCPFinalExam2011Part2MultipleChoice

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Australasian Board Of Cardiovascular Perfusion


Australasian Diploma of Perfusion
Final Examinations: Part 2 Multiple Choice

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

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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

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ABCP 2011

Thedegreeofspallationrelatesdirectlytowhichofthefollowing:
a.Speedoftherollerpump
b.Occlusivenessoftherollerpump
c.Tubingsize
d.Tubingtype
e.alloftheabove
Heparinseffectonanticoagulationismediatedthrough.
a.
plateletfactorIII
b.
calcium
c.
ATIII
d.
cofactorIII
e.
candd

ABCPFinalExam2011Part2MultipleChoice

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Australasian Board Of Cardiovascular Perfusion


Australasian Diploma of Perfusion
Final Examinations: Part 2 Multiple Choice

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

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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

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ABCP 2011

ABCPFinalExam2011Part2MultipleChoice

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Australasian Board Of Cardiovascular Perfusion


Australasian Diploma of Perfusion
Final Examinations: Part 2 Multiple Choice

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

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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

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ABCP 2011

ABCPFinalExam2011Part2MultipleChoice

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Australasian Board Of Cardiovascular Perfusion


Australasian Diploma of Perfusion
Final Examinations: Part 2 Multiple Choice

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.

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ABCP 2011

Itisstronglyacidic
Dissolvesexistingclots
StimulatesantithrombinIIIactivation
InhibitstheactionoffactorsIXandXI
Heparinhasthehalflifeofapproximately11.5hours

WhichofthefollowingisaphysiologicresultofIntraAorticBalloon
Pumpdeflation:
a.
increasedpressureheadintheaorta
b.
decreasedleftventricularwalltension
c.
increasedperfusionofarchvessels
d.
greatlydecreaseddynamicwork
e.
increasedrenalperfusion

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ABCP 2011

ABCPFinalExam2011Part2MultipleChoice

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