1.  Massive transfusion is defined as:

a.  The replacement of a  1/3 the patient's total blood volume in less than 24 hours, or as the acute administration of more than half the patient's estimated blood volume per hour.

b.  The replacement of a patient's total blood volume in less than 24 hours, or as the acute administration of more than all of the patient's estimated blood volume per hour.

c.  The replacement of a 2/3 the patient's total blood volume in less than 24 hours, or as the acute administration of more than half the patient's estimated blood volume per hour.

d.  The replacement of a patient's total blood volume in less than 24 hours, or as the acute administration of more than half the patient's estimated blood volume per hour.

Answer

2.  The aim of treatment during massive transfusion includes the following:

a.  The rapid and effective restoration of an adequate blood volume.

b.  Restoration of coagulation to within safe limits.

c.  Restoration of  oxygen carrying capacity.

d.  Restoration of oncotic pressure

e.  All of the above

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3.  What is the indication for infusion of FFP and how much should be infused?

a.   Fresh frozen plasma (10ml/kg) is administered if PT or PTT are running higher than 2.0 times control levels.

b.  Fresh frozen plasma (12ml/kg) is administered if PT or PTT are running higher than 2.0 times control levels.

c.  Fresh frozen plasma (10 ml/kg) is administered if PT or PTT are running higher than 1.5 times control levels.

d.  Fresh frozen plasma (12ml/kg) is administered if PT or PTT are running higher than 1.5 times control levels.

Answer

4.  What is the indication for infusion of platelets and how much should be infused?

a.  Platelet concentrates (1 pack/10kg) are given if platelet count falls below 50,000 per mm3.

b.  Platelet concentrates (1 pack/10kg) are given if platelet count falls below 25,000 per mm3.

c.  Platelet concentrates (2 pack/10kg) are given if platelet count falls below 50,000 per mm3.

d.  Platelet concentrates (2 pack/10kg) are given if platelet count falls below 25,000 per mm3.

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5.  What is the indication for infusion of cryoprecipitate and how much should be infused?

a.  Cryoprecipitate (1-1.5 packs/10kg) is given for Fibrinogen levels < 0.6g/l.

b.  Cryoprecipitate (2-3 packs/10kg) is given for Fibrinogen levels < 0.8g/l.

c.  Cryoprecipitate (1-1.5 packs/10kg) is given for Fibrinogen levels < 0.8g/l.

d.  Cryoprecipitate (2-3 packs/10kg) is given for Fibrinogen levels < 0.6g/l.

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6.    Each platelet concentrate also provides how much fresh plasma?

  a.  Each platelet concentrate also provides around 25ml of fresh plasma.

  b.  Each platelet concentrate also provides around 50ml of fresh plasma.

  c.  Each platelet concentrate also provides around 75ml of fresh plasma.

  d.  Each platelet concentrate also provides around 100ml of fresh plasma.

Answer

7.    How much of an increase in circulating platelets can be expected from the transfusion of each platelet concentration unit?

a. 1,000-2,000 per mm3

b.  2,500-5,000 per mm3

c.  5,000-10,000 per mm3

d.  10,000-15,000 per mm3

Answer