HEMODYNAMICS (PART -2)



                     


                                                    QUESTIONS


1. All of the following are true about DIC except? 

 (a) Increased fibrinogen

 (b) Increased activated partial thromboplastin time 

(c) Decreased prothrombin time 

(d) Increased fibrin degradation products 

2. The initiating mechanism in endotoxic shock is ?

 (a) Peripheral vasodilatation 

 (b) Endothelial injury 

(c) Increased vascular permeability

 (d) Reduced cardiac output 

3. The initiating mechanism in endotoxic shock is ? 

(a) Peripheral vasodilatation 

 (b) Endothelial injury 

(c) Increased vascular permeability 

(d) Cytokine release 

4. D-Dimer is the most sensitive diagnostic test for ?

(a) Pulmonary embolism 

 (b) Acute pulmonary oedema 

(c) Cardiac tamponade

(d) Acute myocardial infarction 

5. Shock lung is characterized by ?

(a) Alveolar proteinosis 

 (b) Bronchiolitis obliterans 

(c) Diffuse pulmonary hemorrhage 

(d) Diffuse alveolar damage

 6. The histological features of shock includes ?

 (a) ATN

 (b) Pulmonary congestion 

(c) Depletion of lipids in adrenal cortex 

(d) Hepatic necrosis 

(e) Depletion of lymphocytes 

7. Conditions associated with incoagulable state are ?

(a) Abruption placentae 

 (b) Acute promyelocytic leukemia 

(c) Severe falciparum malaria

 (d) Snake envenomation 

(e) Heparin overdose

8. Which of the following is a feature of Disseminated Intravascular Coagulation (DIC)?

 (a) Normal prothrombin time 

 (b) Reduced plasma fibrinogen 

(c) Normal platelet count 

(d) Normal clotting time 

9. A 29 year old woman Ruma is in labour but unfortunately during parturition, the placental membranes tear and amniotic fluid expressed into a lacerated cervical vein. Which of the following is the woman most likely to experience immediately following this event? 

(a) Placental abruption 

(b) Renal failure 

(c) Respiratory distress 

(d) Splinter hemorrhages

 10. Irshaan has been diagnosed with acute promyelocytic leukemia recently. He presents suddenly in the medical emergency because of a dangerous complication of his malignancy called disseminated intravascular coagulation (dic). In dic, micro emboli form leading to obstruction of blood vessels and tissue hypoxia. The common clinical signs observed in patient may be due to which of the following? 

(a) Immunologic failure

 (b) Renal failure 

(c) Right ventricular failure

 (d) Hepatic failure

 11. A primiparous woman Ritu at term experiences placental abruption and is rushed to the operating room for emergency Cesarean section. She develops shortness of breath, cyanosis, and copious bleeding from her surgical wounds. Levels of which of the following blood components is expected to rise in this setting? 

(a) Factor V 

(b) Fibrin degradation products 

(c) Fibrinogen 

(d) Plasminogen 

12. A 24-year-old pregnant Heena sustains a placental abruption, and is admitted to the ICU where she begins bleeding from multiple sites, including oral mucous membranes. Which of the following studies would be most valuable in assessing this patient’s condition?

 (a) Partial thromboplastin time, kininogen, and factor VIII levels 

(b) Platelet count, fibrinogen levels, and fibrin degradation products 

(c) Platelet count, thrombin time, and prekallikrein levels 

(d) Prothrombin time and factor VIII levels 


                                                     ANSWERS


1)c   2) b   3) d   4) a   5)d   6) a   7) a   8) b   9) c   10) b   11) b   12) b