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Test power Nephro

Total questions: 15

Worksheet time: 43mins

Name
Class
Date
1.

Complication that may arise from contamination in water treatment system is

a)

acidosis

b)

iron toxicity

c)

amyloidosis

d)

aluminium toxicity

2.

The National Hemodialysis Quality Standards 2018 require

a)

Multimedia Sediment Filter - Daily backwash

b)

Raw water pump - Single stainless steel

c)

RO product water shall fulfil the AAMI 2010/ISO 12500:2912

d)

the Guard Filter - shall be replaced when there is pressure difference more than 15 PSI

3.

Two types of vascular access in Hd, which are permanent and

(a)  

4.

State 5 rules of 6s in assessing maturation of AVG

4 lines
5.

Observation during heparin free hemodialysis include

a)

duration of treatment.

b)

amount and rate of fluid removal.

c)

dialyser is clear of blood each time flushing is done.

d)

monitor clotting time using ACT machine every 1/2 hourly

6.

The following are indications of heparin free hemodialysis

a)

hemophilia

b)

thalassaemia

c)

patient who had recent injury

d)

patient who had surgery within 24-48 hours

7.

The temporary IJC was inserted for Mr K who needs urgent hemodialysis.The immediate complication post venous catheter insertion is

a)

stenosis

b)

thrombosis

c)

pneumothorax

d)

bronchial spasm

8.

Rotating the needle during cannulation of AVG is to prevent

(a)  

9.

A patient with AKI requires hemodialysis. A temporary vascular access was obtained by placing a catheter in the right femoral vein. The type of heparinization required for his hemodialysis is

(a)  

10.

What is the bolus dose for normal heparin in HD?

(a)  

11.

What is the bolus dose of tight heparin in HD?

(a)  

12.

The most appropriate management for Cateter Related Blood Stream Infection (CRBSI) in critical ill patients with cuffed tunnel catheter is

a)

treat with local antibiotic application for 72 hours

b)

it should be removed and an alternative access placed if possible.

c)

convert the modality of replacement therapy to IPD stat.

d)

antibiotic lock solution be used to reduce catheter related bacteraemia

13.

The measures taken during heparin free dialysis is

a)

flush with 100-250 ml saline every 15-20 minutes

b)

prime with heparin saline

c)

maintaining blood flow rate <200mls/min

d)

react to alarm promptly to gain early alert to clotting

14.

Sign of coagulation during dialysis are

4 lines
15.

State 4 types of heparinization using in HD

4 lines