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2021 Board Review Quiz

Total questions: 9

Worksheet time: 5mins

Name
Class
Date
1.

What’s wrong with hypothermia?

a)

Reduction of oxygen consumption

b)

Left shift of the O2-Hb dissociation curve

c)

Reduction of blood pH

d)

Reduction of cerebral blood flow

e)

Increase blood viscosity

2.

Which part of the CPB injures blood cell the most?

a)

Arterial cannula

b)

Venous cannula

c)

Oxygenator

d)

Arterial filter

e)

Cardiotomy sucker

3.

Coagulopathy after CPB come from the following reasons except?

a)

Dilution of clotting factors

b)

Contact activation of the clotting cascade

c)

Platelet consumption and dysfunction

d)

Heparin-induced thrombocytopenia

e)

Fibrinolysis

4.

Which of the followings will ↑ DO2 the most during CPB?

a)

↑ Temp by 25%

b)

↑ PaO2 by 20%

c)

↑ Hb by 15%

d)

↑ MAP by 10%

e)

↑ SaO2 by 5%

5.

Which type(s) of filtration does not result in an increase of hematocrit?

a)

PUF – Prebypass Ultrafiltration

b)

CUF – Conventional Ultrafiltration

c)

Z-BUF – Zero balance Ultrafiltration

d)

MUF – Modified Ultrafiltration

6.

What is the most proper management of the residual pump blood?

a)

Discard

b)

Collect to the cell saver

c)

Re-transfuse after process

d)

MUF until no residual volume

e)

Store at the blood bank for autotransfusion later

7.

Which is not recommended for open-heart surgery blood management?

a)

Routine use of anti-fibrinolytic

b)

Preoperative transfusion for anaemic patient

c)

Protamine to heparin dosing ratio of 1:1

d)

Heparin level measurement for re-dosing

e)

Usage of aged bank packed red cell

8.

Which myocardial state consumes the most energy?

a)

Empty beating heart; normothermia

b)

Fibrillating heart; normothermia

c)

Arrest heart; normothermia

d)

Empty beating heart; hypothermia

e)

Fibrillating heart; hypothermia

9.

What should we manage the patient with a recent history of HITT requiring urgent CABG?

a)

OPCAB

b)

Use low molecular weight heparin

c)

Use thrombin inhibitor

d)

Use non-vitamin K antagonist oral anticoagulants