2012 - 2015 Question Papers Dr. MGR University PAPER II PRINCIPLES OF PERFUSION TECHNOLOGY- I

Dr. MGR University AUGUST 2012 Question Paper
Subject : PAPER II – PRINCIPLES OF PERFUSION TECHNOLOGY - I

[LB 0212] Sub. Code: 1412
B.Sc. CARDIO PULMONARY PERFUSION CARE TECHNOLOGY
SECOND YEAR
PAPER II – PRINCIPLES OF PERFUSION TECHNOLOGY - I
Q.P. Code: 801412
Time : Three Hours Maximum : 100 marks
 Answer ALL questions in the same order.
I. Elaborate on: Pages Time Marks
 (Max.) (Max.) (Max.)
 1. Describe the evolution of cardiopulmonary bypass and
 its uses in cardiac surgery. 7 20 min. 10
 2. Discuss in detail the principles of extra-corporeal gas exchange. 7 20 min. 10
 3. What is IABP? Explain in detail about the principle, functions,
 indications, contra-indications and complications of IABP. 7 20 min. 10
II. Write notes on:
 1. Objectives of an ideal oxygenator. 4 10 min. 5
 2. What are the components of membrane oxygenator?
 Explain its functions. 4 10 min. 5
 3. What are the various methods used to reduce myocyte
 damage during reperfusion. 4 10 min. 5
 4. What are the different types of hypothermia. 4 10 min. 5
 5. Explain pulsatile flow. 4 10 min. 5
 6. Describe the components of extra corporeal circulation. 4 10 min. 5
 7. Explain the functions of heat exchangers. 4 10 min. 5
 8. What are the effects of preload and after load on
 centrifugal pump flow? 4 10 min. 5
III. Short Answer on :
 1. What is bubble trap? 2 4 min. 3
 2. Explain siphonage principle. 2 4 min. 3
 3. Define reaction time. 2 4 min. 3
 4. Name few commonly used sites for temperature monitoring. 2 4 min. 3
 5. What is bellow pump? 2 4 min. 3
 6. Describe the functions of flow meter. 2 4 min. 3
 7. Roller pumps. 2 4 min. 3
 8. What is the desirable pore size of arterial filter, gas filter,
 cardiotomy filter? 2 4 min. 3
 9. Explain how to return the cardiotomy blood. 2 4 min. 3
10. What are the main components of cardioplegic solution. 2 4 min. 3
 *******

Dr. MGR University AUGUST 2013 Question Paper
Subject : PAPER II – PRINCIPLES OF PERFUSION TECHNOLOGY - I

[LD 0212] Sub. Code: 1412
B.Sc. CARDIO PULMONARY PERFUSION CARE TECHNOLOGY
SECOND YEAR
PAPER II – PRINCIPLES OF PERFUSION TECHNOLOGY - I
Q.P. Code: 801412
Time : Three Hours Maximum : 100 marks
Answer ALL questions
I. Elaborate on: (3 x 10 = 30)
 1. Hemodilution, Hematocrit and Priming volume.
 2. CPB circuit diagram incorporating all components.
 3. Complications of extra corporeal circulation.
II. Write notes on: (8 x 5 = 40)
 1. Cardioplegia.
 2. Coagulation Cascade.
 3. Bio compatible materials.
 4. systemic inflammatory response in CPB.
 5. Ultra filtration dialysis during CPB.
 6. Partial cardiopulmonary bypass.
 7. Hypothermia.
 8. Anticoagulation for CPB.
III. Short Answers on: (10 x 3 = 30)
 1. Rotatory pumps.
 2. Tubings in CPB.
 3. Cell savers and washing system.
 4. Protamine.
 5. IABP.
 6. Left ventricular Assist devices.
 7. Hemostasis.
 8. Occlusion settings.
 9. Heparin reversal.
10. Communication in conduct of CPB.
 *******

Dr. MGR University AUGUST 2014 Question Paper
Subject : PAPER II – PRINCIPLES OF PERFUSION TECHNOLOGY - I

[LF 0212] Sub. Code: 1412
B.Sc. CARDIO PULMONARY PERFUSION CARE TECHNOLOGY
SECOND YEAR
PAPER II – PRINCIPLES OF PERFUSION TECHNOLOGY - I
Q.P. Code: 801412
Time : Three Hours Maximum : 100 marks
Answer ALL questions
I. Elaborate on: (3 x 10 = 30)
 1. Describe the evolution of oxygenator?
 2. What is cardiopulmonary bypass? How do you initiate, manage & terminate? Explain.
 3. Write in detail about IABP & its principle including indications & contra indications.
II. Write notes on: (8 x 5 = 40)
 1. How does a roller pump play role in cardiopulmonary bypass?
 2. Draw extracorporeal circuit diagram & label it.
 3. Essential parameters monitored by perfusionist on CPB.
 4. What is filter? Where do you need to incorporate exactly in your bypass circuit? Why?
 5. Hypothermia & its uses in cardiac surgery.
 6. What is arterial blood gas report & how will you react after looking at it?
 7. Write the importance of perfusion flow rates & pressures.
 8. Prepare a treatment chart for metabolic /respiratory & acidosis/alkalosis.
III. Short Answers on: (10 x 3 = 30)
 1. What is cardioplegia solution? How does it preserve myocardium?
 2. Draw membrane oxygenator & specify all the components.
 3. How does centrifugal pump differ from roller pump?
 4. Basic difference between bubbler & membrane oxygenator.
 5. How do you assess your priming volume?
 6. Why hemofilter is mandatory for children especially?
 7. Write the formula for calculating the patient body surface area, blood volume and
 circulating hematocrit.
 8. What is “Ischemic period”?
 9. What is free radical scavengers & give example?
10. Common complication due to improper aortic & venous cannulation.
 *******

Dr. MGR University FEBRUARY 2015 Question Paper
Subject : PAPER II – PRINCIPLES OF PERFUSION TECHNOLOGY - I

[LG 0215] Sub. Code: 1412
B.Sc. CARDIO PULMONARY PERFUSION CARE TECHNOLOGY
SECOND YEAR
PAPER II – PRINCIPLES OF PERFUSION TECHNOLOGY - I
Q.P. Code: 801412
Time : Three Hours Maximum : 100 marks
Answer ALL questions
I. Elaborate on: (3 x 10 = 30)
 1. Write in detail about IABP and its principle including indications & contra indications.
 2. Describe the evolution of oxygenator.
 3. What is cardiopulmonary bypass? How do you initiate, manage and terminate?
 Explain.
II. Write notes on: (8 x 5 = 40)
 1. What is filter? Where do you need to incorporate exactly in your bypass circuit? Why?
 2. Prepare a treatment chart for metabolic/respiratory and acidosis/alkalosis.
 3. Essential parameters monitored by perfusionist on CPB.
 4. Write the importance of perfusion flow rates and pressures.
 5. Draw extracorporeal circuit diagram and label it.
 6. What is arterial blood gas report and how will you react after looking at it?
 7. How does a roller pump play role in cardiopulmonary bypass?
 8. Hypothermia and its uses in cardiac surgery?
III. Short Answers on: (10 x 3 = 30)
 1. Basic difference between bubbler and membrane oxygenator.
 2. What is “Ischemic period”?
 3. What is cardioplegia solution? How does it preserve myocardium?
 4. How do you assess your priming volume?
 5. What is free radical scavengers and give example?
 6. Draw membrane oxygenator and specify all the components.
 7. Why hemofilter is mandatory for children especially?
 8. Common complication due to improper aortic and venous cannulation.
 9. How does centrifugal pump differ from roller pump?
10. Write the formula for calculating the patient body surface area, blood volume
 and circulating hematocrit
 *******

Dr. MGR University AUGUST 2015 Question Paper
Subject : PAPER II – PRINCIPLES OF PERFUSION TECHNOLOGY - I

[LH 0815] Sub. Code: 1412
B.Sc. CARDIO PULMONARY PERFUSION CARE TECHNOLOGY
SECOND YEAR
PAPER II – PRINCIPLES OF PERFUSION TECHNOLOGY - I
Q.P. Code: 801412
Time : Three Hours Maximum : 100 marks
Answer ALL questions
I. Elaborate on: (3 x 10 = 30)
 1. Explain myocardial protection techniques and its strategies.
 2. Describe all the ideal characteristics of an oxygenator, pump and what are the
 principles of extra corporeal gas exchange.
 3. Draw circuit of CPB with hemofilter, name all the parts and also mention all
 important benefits of Hemofilteration in Detail.
II. Write notes on: (8 x 5 = 40)
 1. Heparin – mechanism of action, dose and tits effects on patient undergoing bypass.
 2. How to initate, manage and wean off bypass?
 3. Indication, contraindication of IABP and mention its merits.
 4. Difference between membrane and bubble oxygenator.
 5. Blood conversation techniques in detail.
 6. Essential parameter monitored on CPB and state some safety devices in
 extracorporeal circuit.
 7. Effects pf CPB on various organs…
 8. Prepare a treatment chart for metabolic/ respiratory Acidosis and also Alkaosis.
III. Short Answers on: (10 x 3 = 30)
 1. What is TCA and its indications and technique?
 2. Safety durations of various temperature and What is the required flow rate?
 3. Mention the formula for the following:
 1) BSA, 2) Circulating hct, 3) Heparin to be added in prime formulae.
 4. What is hand crank? When it is used?
 5. Hypothermia merits and de merits 2 point each.
 6. Causes for poor cenous drainage.
 7. What is Act? Why it is essential to be monitored during CPB. Mention normal Act
 values and values to be maintained in CBP.
 8. Mention some Pioneer surgeon and their discoveries with CPB and cardiac surgery.
 9. What is Prime? Aims of it?
10. Mention various kinds of Cardioplegia used till date which are commonly used
 in current practices.
 ******* 

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