| Post Name | PERFUSIONIST |
|---|---|
| Department | MEDICAL EDUCATION |
| Question Paper Code | 035/2018/OL |
| Category Code | 363/2017 |
| Date of Test | 4 July 2018 |
| Medium of Question | ENGLISH |
| Exam Type | Online Examination |
| Total Questions | 100 |
1
The Social reformer Mannath Padmanabhan delivered the 'Muthukulam Speech' in the year of
Answer
B. 1947
2
Who was considered as the first Martyr of Kerala Renaissance ?
Answer
A. Arattupuzha Veleyudha Paniker
3
On the Background of Malabar Rebellion 1921 Kumaranasan wrote the poem
Answer
D. Duravastha
4
The 'Silent Ambassador' of a Country is
Answer
C. Postal Stamp
5
Name the Indian State where GST is firstly implemented
Answer
A. Assam
6
Town Farooq was built by
Answer
D. Tippu Sulthan
7
The Island is situated in the South of Lakshadweep
Answer
C. Minikoy
8
'Kochi as the Queen of Arabian sea' is firstly called by
Answer
B. Divan R. K. Shanmukan Shetti
9
The name of the cyclone 'Ochi' is given by
Answer
D. Bangladesh
10
The Back Bone of Himalaya is
Answer
C. Himadri
11
Which colour is commonly used to identify the General Category of Ration Card in Kerala ?
Answer
A. White
12
Name the social reformer of Kerala prohibited the custom 'Ettu - Mattu'
Answer
B. Vagbadanandan
13
The 'Kerala Napoleon' is
Answer
C. Poykayil Yohannan
14
Who is the Chairperson of the National Commission for Women ?
Answer
A. Rekha Sharma
15
The first fully blood donated Panchayath in Kerala is
Answer
D. Madikai
16
The Revolt of 1857 led at Kanpur by
Answer
B. Nanasahib
17
The Vice President of USA is
Answer
C. Mike Pence
18
In the Second Nationalization of commercial banks ________ banks were nationalized.
Answer
B. 6
19
A land mass bounded by sea on three sided refrred as
Answer
A. Peninsula
20
Mahatma Gandhi Marine National Park situated in
Answer
D. Andaman Nicobar Island
21
Which of the following does not reduce the inflammatory effects of cardiopulmonary bypass ?
Answer
A. Red cell transfusion
22
The following are cardiac chambers except
Answer
D. Left superior venacava
23
The following are advantages of miniaturised circuits except
Answer
B. Less air embolism
24
Active venous drainage may be done with all except
Answer
C. Roller pump
25
All of the following are common venting sites except
Answer
D. Right atrium
26
The following are true of retrograde cardioplegia except
Answer
C. Provides good myocardial protection to the right ventricle
27
The pore size of an arterial filter is usally
Answer
B. 40 micrometre
28
Intraaortic balloon pump uses
Answer
A. Helium
29
The commonest cause of stroke on cardiopulmony bypass is
Answer
D. Events during cannulation and clamping
30
In atherosclerotic aorta the best cannulation site is
Answer
C. Right subclavian artery
31
Distal ischemia during peripheral cannulation can be prevented by
Answer
B. Cannulating via a side arm graft
32
Mitral valve surgery commonly uses
Answer
A. Bicaval cannulation
33
All are true regarding Activated Clotting Time (ACT) except
Answer
B. Correlates better with heparin concentration than high dose thrombin time
34
Systemic flow rates at normothermia are usually
Answer
D. 2.0 ltr/min/m²
35
All are true of retrograde autologous priming except
Answer
D. Most useful in large and over weight patients
36
Adequate tissue oxygen delivery is assessed by all except
Answer
A. Residual nitrogen saturation
37
All the following are used to combat low systemic vascular resisance except
Answer
D. Dobutamine
38
Heart distension on bypass can produce all except
Answer
B. Ventricular cooling
39
Cold hemagglutinin disease is
Answer
C. A cause of myocardial infarction
40
Indications for deep hypothermic circulatory arrest are all except
Answer
B. Distal descending thoracic aneurysms
41
Retrograde Cerebral perfusion is
Answer
A. Administered at 500 ml/min
42
In PADCAB perfusion is provided to
Answer
C. Coronary circulation
43
All of the following in cardioplegia prevent cell damage except
Answer
C. Calcium channel blockers
44
Controlled cross circulation was developed by
Answer
A. Lillehei
45
Cardioplegia was first used by
Answer
D. Melrose
46
The following factors influence venous drainage except
Answer
D. None of the above
47
Which size tubing is not commonly used in cardiopulmonary bypass
Answer
D. 1/8 inch
48
Centrifugal pumps are all except
Answer
C. Reduce priming volume
49
Ultrafiltration rates in continuous ultrafiltration are significantly affected by all except
Answer
A. Oncotic pressures
50
Carbogen is used in
Answer
A. pH stat strategy
51
True membrane oxygenators use
Answer
D. Silicone
52
Protein denaturation occurs above
Answer
B. 42° C
53
Which oxygenator has the smallest priming volume ?
Answer
C. Termo capiox baby Rx 05
54
All are important buffers except
Answer
C. Chloride
55
Ectotherm physiology is used in
Answer
A. Alpha stat
56
All are advantages of deep hypothermic circulatory arrest in children except
Answer
C. Better organ preservation
57
Advantages of iliac cannulation are all except
Answer
B. Easier dissection than femoral artery
58
Which valve is not normally tricuspid ?
Answer
B. Mitral
59
All are true of left superior venacave except
Answer
B. Runs anterior to the heart
60
Aortic cross clamping is done early in
Answer
D. All of the above
61
The oxygenator initially used by Gibbon was a
Answer
B. Film oxygenator
62
Heparin was discovered by
Answer
D. McLean
63
All the following changes happen on cardiopulmonary bypass except
Answer
A. Increased ACTH in nopulsatile CPB
64
Tissue oxygen delivery is easily measured by
Answer
A. Mixed venous oxygen saturation
65
Heparin is safe as an anticoagulant for extracorporeal circulation beacause of
Answer
A. Short duration for maximal action
66
All are true of magnesium except
Answer
B. Stimulates catecholamine release
67
All are phosphodiesterase type 3 inhibitors except
Answer
D. Dopexamine
68
Which of the following increases cerebral emboli ?
Answer
B. Cardiotomy
69
Which of the following is a contraindication to early extubation ?
Answer
C. Hypothermia
70
All are parts of a gas flow path except
Answer
D. Heat exchanger
71
All are sites of temperature measurement except
Answer
A. Colon
72
Heparin resistance is caused by all except
Answer
D. Obesity
73
Alternate pathway of complement activation begins with
Answer
C. C₃
74
Tissue oxygen consumption in pulsatile CPB when compared to non pulsatile is
Answer
B. More
75
Hyperglycemia in CPB causes
Answer
C. No significant change inneurological outcome
76
Which of the following is a neuroprotective strategy ?
Answer
D. Hypothermia
77
To avoid uneven cooling the gradient between water and blood should be less than
Answer
A. 10° C
78
Neutral human pH at temperature of 20° C is
Answer
A. 7.7
79
Which of the following is a myocardial protection strategy ?
Answer
D. All the above
80
A one way valve placed in the arterial line is designed to prevent
Answer
B. Retrograde flow
81
The minimum acceptable range of haematocrit on CPB is
Answer
A. 18-21%
82
When using a centrifugal pump one must always maintain ?
Answer
A. forward flow and positive pressure
83
Which of the following is observed when an oxygenator begins to clot ?
Answer
D. High membrane pressure gradient
84
To ensure proper communication with surgeon a perfusionist must always
Answer
B. repeat surgeons orders
85
The best method to monitor cerebral oxygen delivery is
Answer
A. Cerebral oximetry
86
Which aortic cannula has embolism protection ?
Answer
A. Embol
87
What is not true of left dominant circulation ?
Answer
Question Cancelled
88
Which of the following is not an indication for CABG ?
Answer
C. Double vessel disease with normal LAD
89
All are advantages of roller pump except
Answer
D. Less cavitation if inflow occluded
90
Venous drainage can be improved by all except
Answer
A. Aortic cardiopplegia
91
Cardioplegia is administered into the main pulmonary artery in
Answer
B. Anomalous left coronary artery origin from pulmonary artery
92
Cardioplegia entering systemic circulation causes
Answer
A. Reduced SVR
93
Where are drugs administered in CPB ?
Answer
B. CPB circuit
94
The level of which of the following falls during CPB ?
Answer
C. Both of the above
95
Oedema is caused by
Answer
B. Decreased plasma colloid osmotic pressure
96
Vitamin K dependant clotting factors are all except
Answer
B. V
97
In a Waterston shunt the connection is between
Answer
C. Aorta and RPA
98
All are types of VSD except
Answer
D. Secondum
99
In a proper IABP placement the tip is
Answer
B. just distal to left subclavian origin
100
Retrograde cardioplegia is comtraindicated in
Answer
D. Unroofed coronary sinus
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