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[AHS 0321] MARCH 2021 Sub. Code: 1412
(AUGUST 2020 EXAM SESSION)
B.Sc. CARDIO PULMONARY PERFUSION CARE TECHNOLOGY
SECOND YEAR (Regulations 2010-2011 & 2014-2015 )
PAPER II – PRINCIPLES OF PERFUSION TECHNOLOGY – PART – I
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Q.P. Code : 801412Time: Three hours Answer ALL Questions Maximum: 100 Marks
I. Elaborate on: (3 x 10 = 30)
- Myocardial preservation Strategies and Techniques Involved in Cardiac surgery till date.
- History and development of Cardiopulmonary Bypass Till date and also Elaborate on Gibbons contribution to CPB in clinical practice.
- Write a note on IABP with diagram. Indications, Contraindications and complication of it.
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II. Write notes on: (8 x 5 = 40)
- What is CAD? Risk factors of CAD? And draw a coronary Artery Anatomy.
- Adult and Paediatric perfusion differences in all Aspects.
- How to choose Cannula Arterial and Venous? Temperature Based Flow Rates Chart?
- Safety Devices used in CPB and Mention its Functions.
- Ideal characteristics of a Pump and Oxygenator.
- Differences between Roller pump and centrifugal Pump.
- Draw a Extracorporeal circuit with all parts and Label it and Perfusion Pre bypass checklist chart.
- What is priming? What is static Priming? Aims of it and mention various types of priming solutions?
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III. Short answers on: (10 x 3 = 30)
- What is MUF? When and where it is done? Formula for Volume to be removed during this process.
- Address this case : 1 yr old child with VSD, having weight of 5.3 kg, Height 120 cm, Hb 10.1%. What oxygenator, packs, cannula, prime will you choose and manage the case? Also calculate circulating haematocrit.
- Renal protocol in CPB.
- Describe the principles of Venous Drainage and Causes of Poor Venous Return.
- Describe the principles of Heat exchangers and tubing used in CPB.
- What are the sources of Cerebral Emboli during CPB?
- Mention the Formula for the following: (a) circulating Haematocrit, (b) Amount of RBC to be added in prime, (c) Heparin to be added in Prime.
- Mention all the Parameters Monitored during CPB.
- Advantage of Blood Cardioplegia over crystalloid Cardioplegia.
- Correction of Hyperkalemia and Bicarbonate.
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