Multiple Choice Questions Section

Saudi Medical Journal introduces this new section on multiple choice questions as part of its commitment to continuous education and learning. Board residents are encouraged to read this section to improve their knowledge and direct their reading for written examinations. All questions are supplied by and published with permission from the Examination Department, Saudi Commission For Health Specialties Riyadh, Kingdom of Saudi Arabia.

Choose the most appropriate single answer. 1. In normal physiological conditions, PO2 of arterial blood is about 95 mm Hg and oxygen saturation of hemoglobin is about 97%. If PO2 is reduced to 60 mm Hg, what will be the approximate oxygen saturation of the blood? (A) 95% (B) 90% (C) 85% (D) 75%

2. Carotid artery stenosis can predispose patients to stroke & transient ischemic attacks. Which one of the following conditions is associated with a higher incidence of significant carotid artery disease? (A) Subclavian artery stenosis. (B) Left main coronary artery stenosis. (C) Right coronary artery stenosis. (D) Aortic valve stenosis. 3. This is the picture of a monitoring catheter. What are the monitoring parameters that this catheter can be used to measure? (A) Central venous pressure & cardiac output. (B) Central venous pressure, pulmonary artery pressure & cardiac output. (C) Central venous pressure, pulmonary artery pressure, pulmonary capillary wedge pressure & cardiac output. (D) Central venous pressure, pulmonary artery pressure, pulmonary capillary wedge pressure, mixed venous saturation & cardiac output.

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4. A 58-year-old diabetic lady with good left ventricular function and triple vessel coronary artery disease underwent CABG. Coming off bypass, the patient is running a very low central venous pressure (CVP) and marginal blood pressure (BP). All the volume from the pump has been given but the situation does not change. What is the best strategy if the CVP & BP are still low? (A) (B) (C) (D) Add another 1 liter of colloid in the reservoir and give it rapidly. Suggest that an inotrope be started. Suggest that patient should receive a vasoconstrictor. Suggest that the patient should go back on bypass.

5. What in the name of this catheter? (A) (B) (C) (D) Retrograde cerebral perfusion catheter. Retrograde cardioplegia catheter. Ante-grade cardioplegia catheter. Peritoneal dialysis catheter.

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ANSWERS: 1. Answer: Specialty Domain: Section: Type: Reference: Answer: Specialty Domain: Section: Type: Reference: Answer: Specialty Domain: Section: Type: Reference: Answer: Specialty Domain: Section: Type: Reference: Answer: Specialty Domain: Section: Type: Reference: B Diagnosis Cardiac Physiology Recall Knowledge Guyton AC, Hall JE. Textbook of Medical Physiology. 10th ed. Philadelphia (PA): Saunders College Publishing; 2000. p. 467. B Diagnosis Cerebral Protection Recall Knowledge Kirklin JW, Barratt-Boyes EG, editors. Cardiac Surgery. 3rd ed. New York (NY): Churchill Livingstone; 2003. p. 411. D Diagnosis Monitoring of Cardiac Patient Recall Knowledge Bojar RM. Manual of peri-operative care in adult cardiac surgery. 3rd ed. 2005. New York (NY): John Wiley & Sons, Inc. p. 227. C Diagnosis Fluid-electrolyte balance Interpretation Bojar RM. Manual of peri-operative care in adult cardiac surgery. 3rd ed. 2005. New York (NY): John Wiley & Sons, Inc. p. 473. B Diagnosis Myocardial Preservation Recall Knowledge Bojar RM. Manual of peri-operative care in adult cardiac surgery. 3rd ed. 2005. New York (NY): John Wiley & Sons, Inc. p. 211.

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