1
ABCP Board Exam Questions and
Answers Latest Version
Metabolic acidosis is characterized by:
a fall in the plasma HCO3- concentration and a low pH
The patient is a 71 year old male who presents to the
OR with a history of congestive heart failure. His
history is positive for increasing shortness of breath,
3 pillow orthopnea, lower extremity edema, and
dyspnea with mild exertion. Preoperative lab values
are as follows (Arterial values): pH: 7.41, pCO2: 60,
pO2: 50, HCO3-: 38.1, BE + 12, SaO2: 72%, Hgb/Hct:
7.6/23 Based on the above information, you diagnose:
chronic respiratory acidosis with fully compensated
metabolic alkalosis and hypoxemia
The patient is weaned from CPB and you get the
results of the postoperative arterial blood gas. The
results are: pH: 7.42, pCO2: 36, pO2: 95, HCO3-: 26,
BE: -1, SaO2: 99%, Hgb/Hct: 8.6/26 Based on the
above, your diagnosis is:
normal ventilatory status and normal arterial blood gas
values
Laboratory findings in chronic respiratory acidosis
includes:
elevated PaCO2, elevated plasma HCO3, low or low-
normal pH
The ascending aortic segment:
begins at the aortic valve annulus and ends just proximal
to the innominate artery
,2
What is the middle layer of an arterial wall made up
of?
Composed primarily of squamous epithelium, it is the
thickest layer and provides compliance of the artery
The P wave:
When peaked, as in chronic obstructive pulmonary
disease, is known as P pulmonade
The ST Segment
begins with the J point
The intrinsic mechanism of blood coagulation is
thought to be initiated by
foreign surfaces
the aortic valve will close
when aortic pressure is greater than left ventricular
pressure
The gas law that states that the pressure of a gas in a
closed container is inversely related to the volume of
the container is
boyle's law
Hypoxia is
an inadequate, reduced tension of cellular oxygen
Protamine is:
a poly cation that binds ionically to heparin to produce a
stable precipitate
Which antihypertensive drug can cause cyanide
toxicity?
Nipride
Cardiac index is:
equal to cardiac output divided by body surface area
During pregnancy, the mothers cardiac output
increases by
,3
30-50%
Which of the following techniques should be avoided
if a patient has a history of cold agglutination or if it is
suspected?
cold blood cardioplegia
what issue is at the greatest risk for injury due to cold
agglutination on CPB?
Myocardium
Which of the following lab results is the most
important factor when creating a care plan on CPB for
a patient with cold agglutin disease?
The critical temperature
What would not cause cold agglutinins to develop?
allergic reaction to platelet inhibitor
During bypass for a liver transplant, the patient
temperature should be:
maintained at normothermia
Ideal pump flow during liver transplant surgery should
be:
½-2/3 of pre bypass cardiac output
The circuit that is most commonly used for liver
transplant is
Venous Venous Circuit
Which of the following vessels are cannulated during
liver transplant surgery?
Portal vein, inferior vena cava (femoral vein), internal
jugular vein
Which of the following is least likely to occur during
bypass for liver transplant?
A decrease in systemic vascular resistance
, 4
A 45 year old patient with a history of end stage liver
disease is being evaluated for liver transplantation.
The patient gives a history of 60 pack/year cigarette
smoking and a history of consuming at least a 12 pack
of Budweiser beer a day for 10 years. Based on the
above history, which of the following is true?
The patient must prove a history of abstinence from
alcohol for at least 6 months
Which of the following is not implicated as a cause of
end stage renal disease?
Acute Hepatitis A
Which of the following is used to treat malignant
hyperthermia?
Dantrolene
Besides high temperatures, which is a symptom of
malignant hyperthermia?
Hypoxia
Which does not induce uterine contractions?
Magnesium
Uterine contractions do what to uterine blood flow?
Decrease flow
According to the literature, what is the best time in
gestation to have cardiac surgery?
Second trimester
The pregnant woman should be positioned in which
position?
Left lateral tilt
Which of the following matters need not be
considered when conducting bypass on a patient with
sickle cell trait?
Plasma pheresis
ABCP Board Exam Questions and
Answers Latest Version
Metabolic acidosis is characterized by:
a fall in the plasma HCO3- concentration and a low pH
The patient is a 71 year old male who presents to the
OR with a history of congestive heart failure. His
history is positive for increasing shortness of breath,
3 pillow orthopnea, lower extremity edema, and
dyspnea with mild exertion. Preoperative lab values
are as follows (Arterial values): pH: 7.41, pCO2: 60,
pO2: 50, HCO3-: 38.1, BE + 12, SaO2: 72%, Hgb/Hct:
7.6/23 Based on the above information, you diagnose:
chronic respiratory acidosis with fully compensated
metabolic alkalosis and hypoxemia
The patient is weaned from CPB and you get the
results of the postoperative arterial blood gas. The
results are: pH: 7.42, pCO2: 36, pO2: 95, HCO3-: 26,
BE: -1, SaO2: 99%, Hgb/Hct: 8.6/26 Based on the
above, your diagnosis is:
normal ventilatory status and normal arterial blood gas
values
Laboratory findings in chronic respiratory acidosis
includes:
elevated PaCO2, elevated plasma HCO3, low or low-
normal pH
The ascending aortic segment:
begins at the aortic valve annulus and ends just proximal
to the innominate artery
,2
What is the middle layer of an arterial wall made up
of?
Composed primarily of squamous epithelium, it is the
thickest layer and provides compliance of the artery
The P wave:
When peaked, as in chronic obstructive pulmonary
disease, is known as P pulmonade
The ST Segment
begins with the J point
The intrinsic mechanism of blood coagulation is
thought to be initiated by
foreign surfaces
the aortic valve will close
when aortic pressure is greater than left ventricular
pressure
The gas law that states that the pressure of a gas in a
closed container is inversely related to the volume of
the container is
boyle's law
Hypoxia is
an inadequate, reduced tension of cellular oxygen
Protamine is:
a poly cation that binds ionically to heparin to produce a
stable precipitate
Which antihypertensive drug can cause cyanide
toxicity?
Nipride
Cardiac index is:
equal to cardiac output divided by body surface area
During pregnancy, the mothers cardiac output
increases by
,3
30-50%
Which of the following techniques should be avoided
if a patient has a history of cold agglutination or if it is
suspected?
cold blood cardioplegia
what issue is at the greatest risk for injury due to cold
agglutination on CPB?
Myocardium
Which of the following lab results is the most
important factor when creating a care plan on CPB for
a patient with cold agglutin disease?
The critical temperature
What would not cause cold agglutinins to develop?
allergic reaction to platelet inhibitor
During bypass for a liver transplant, the patient
temperature should be:
maintained at normothermia
Ideal pump flow during liver transplant surgery should
be:
½-2/3 of pre bypass cardiac output
The circuit that is most commonly used for liver
transplant is
Venous Venous Circuit
Which of the following vessels are cannulated during
liver transplant surgery?
Portal vein, inferior vena cava (femoral vein), internal
jugular vein
Which of the following is least likely to occur during
bypass for liver transplant?
A decrease in systemic vascular resistance
, 4
A 45 year old patient with a history of end stage liver
disease is being evaluated for liver transplantation.
The patient gives a history of 60 pack/year cigarette
smoking and a history of consuming at least a 12 pack
of Budweiser beer a day for 10 years. Based on the
above history, which of the following is true?
The patient must prove a history of abstinence from
alcohol for at least 6 months
Which of the following is not implicated as a cause of
end stage renal disease?
Acute Hepatitis A
Which of the following is used to treat malignant
hyperthermia?
Dantrolene
Besides high temperatures, which is a symptom of
malignant hyperthermia?
Hypoxia
Which does not induce uterine contractions?
Magnesium
Uterine contractions do what to uterine blood flow?
Decrease flow
According to the literature, what is the best time in
gestation to have cardiac surgery?
Second trimester
The pregnant woman should be positioned in which
position?
Left lateral tilt
Which of the following matters need not be
considered when conducting bypass on a patient with
sickle cell trait?
Plasma pheresis
