Technology General Knowledge Quiz With Questions And Answers
The quiz for our LAST technology test! Sweet. . . . . .
- 1.Which of the following is the preferred method of measuring BP during surgery?
- A.
Auscultation
- B.
Arterial Tonometry
- C.
Arterial Line
- D.
Oscillometry
- 2.The Maximal Oscillation during oscillometry correlates to…
- A.
Mean Arterial pressure
- B.
Systolic BP
- C.
Diastolic BP
- D.
Ventricular Contractility
- 3.What is an appropriate cuff size?
- A.
Equal to diameter of arm
- B.
70-80% of arm diameter
- C.
20-50% greater than the diameter of arm
- D.
Twice arm diameter
- 4.Which of the following is not an adverse effect associated with non-invasive BP monitoring?
- A.
Compartment Syndrome
- B.
Sciatic Nerve Parasthesia
- C.
Thrombophlebitis
- D.
Limb edema & pain
- 5.You are in the middle of a knee arthroscopy when your BP cuff stops working. Your SAO2 is not picking up a good tracing either, though your ECG is working well and shows NSR. What should you do?
- A.
Immediately start CPR, the patient must be in PEA.
- B.
Send someone to go get another BP cuff for you.
- C.
Check for radial pulse, since Systolic must be at least 80 if you can palpate radial pulse.
- D.
Insert a central line.
- 6.Pressure is ______ peripherally than it is centrally. Velocity is _______ peripherally than it is centrally.
- A.
Lower, lower
- B.
Higher, higher
- C.
Lower, higher
- D.
Higher, lower
- 7.Blood Flow is ______ and governed by _____ law.
- A.
Laminar, Poiseiulles
- B.
Turbulent, Renolds
- C.
Mixed, Poiseiulles
- D.
Determined by gradients, Ficks
- 8.Which of the following vessels would have the highest measured pressure?
- A.
Aorta
- B.
Femoral
- C.
Subclavian
- D.
Radial
- 9.Which of the following would NOT be an indication for invasive arterial monitoring?
- A.
End organ disease which necessitates precise beat-to-beat blood pressure measurement.
- B.
Need for multiple ABG’s and labs during case.
- C.
Severe hypertension
- D.
Anticipation of wide blood pressure swings
- 10.A negative Allen’s test indicates there is no collateral blood flow and is an absolute contraindication to a radial artery arterial line.
- A.
True
- B.
False
- 11.Which site is most frequently used for arterial lines?
- A.
Femoral
- B.
Ulnar
- C.
Brachial
- D.
Radial
- 12.You have attempted a radial arterial line on Mrs. Holten and have not been successful. What site should be your 2nd choice for an arterial line?
- A.
Brachial
- B.
Femoral
- C.
Subclavian
- D.
Jugular
- 13.Which invasive arterial monitoring site carries the greatest risk of hematoma and is accessible in low-flow states?
- A.
Brachial
- B.
Femoral
- C.
Radial
- D.
Ulnar
- 14.Electrocautery will NOT interfere with the arterial pressure waveform.
- A.
True
- B.
False
- 15.When interpreting an arterial waveform you notice that the dicrotic notch is very low on the down slope. What does this mean?
- A.
The line is inserted improperly and needs to be adjusted
- B.
The patient may be hypertensive.
- C.
The patient may have a very low SVR.
- D.
Nothing, so long as the notch is there it is good.
- 16.You are planning to insert an arterial line on a 68 yr old male. What technique would you choose to insert the line?
- A.
Strain Gauge Technique
- B.
High Anterior technique
- C.
Wheatstone technique
- D.
Seldinger Technique
- 17.If your arterial line is overdampened….
- A.
Your MAP will still be relatively accurate
- B.
You diastolic BP will be underestimated
- C.
Your systolic BP will be overestimated
- D.
You will have unusually high pressure readings.
- 18.Which of the following is not an indication for a central line?
- A.
Acute burn patient with need for aggressive fluid management
- B.
A patient with severe atherosclerosis who recently had a carotid endarterectomy and is on an anticoagulant drip.
- C.
Septic patient who will need several caustic drugs as well as hyperalimentation infused.
- D.
A patient in 3rd degree heart block who requires emergent insertion of transvenous pacing wires.
- 19.What would be your preferred site of insertion for a CVP line on a patient in acute respiratory failure with no contraindications at any site?
- A.
Left Internal Jugular
- B.
Right Femoral
- C.
Right Internal Jugular
- D.
Left Subclavian
- 20.You are planning to insert a central line on Mr. Jing who is in the ICU for cardiomyopathy. You want to use the High Anterior Approach to insert the line. How would you perform this technique?
- A.
First, obtain a blow gun. Then standing far enough away where the patient can’t see or attempt to hit you, insert a dart into the gun…. Aim at his neck…. And BLOW.
- B.
Find the point that sternal and clavicular heads join the sternocleidomastoid, insert needle 30 degrees at ipsilateral nipple
- C.
Posterior border of sternocleidomastoid and external jugular vein, ispsilateral corner of the sternal notch
- D.
At cricoid level, lateral to carotid, insert needle 30 degrees ipsilateral nipple. Start with 22g finder needle.
- 21.You are planning to insert a central line on Mr. Dee who is in the ICU for Acute Liver Failure. You want to use the Low Anterior Approach to insert the line. How would you perform this technique?
- A.
Give the needle to your preceptor and say "pretty please? Can you insert this for me?"
- B.
Find the point that sternal and clavicular heads join the sternocleidomastoid, insert needle 30 degrees at ipsilateral nipple
- C.
Posterior border of sternocleidomastoid and external jugular vein, ispsilateral corner of the sternal notch
- D.
At cricoid level, lateral to carotid, insert needle 30 degrees ipsilateral nipple. Start with 22g finder needle.
- 22.What does the ‘a’ wave in a CVP waveform represent?
- A.
Atrial pressure during contraction
- B.
Bulging tricuspid, early ventricular contraction
- C.
Tricuspid valve opening during diastole
- D.
Venous return(atrium filling) against a closed tricuspid valve
- 23.What does the ‘c’ wave in a CVP waveform represent?
- A.
Atrial pressure during contraction
- B.
Bulging tricuspid, early ventricular contraction
- C.
Tricuspid valve opening during diastole
- D.
Venous return(atrium filling) against a closed tricuspid valve
- 24.What does the ‘x’ descent in a CVP waveform represent?
- A.
Downward movement of the ventrical during systole
- B.
Bulging tricuspid, early ventricular contraction
- C.
Tricuspid valve opening during diastole
- D.
Venous return(atrium filling) against a closed tricuspid valve
- 25.What does the ‘v’ wave represent in a CVP waveform?
- A.
Atrial pressure during contraction
- B.
Bulging tricuspid, early ventricular contraction
- C.
Tricuspid valve opening during diastole
- D.
Venous return(atrium filling) against a closed tricuspid valve
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