EGAN'S CHAPTER 51 ECMO EXAM
QUESTIONS AND ANSWERS
1. Which of the following are common indications for ECMO?
1. Persistent pulmonary hypertension of the newborn (PPHN)
2. Respiratory distress syndrome (RDS)
3. Meconium aspiration syndrome (MAS)
4. Congenital diaphragmatic hernia (CDH)
a. 1 and 3 only
b. 1, 2, and 3 only
c. 3 and 4 only
d. 2, 3, and 4 only - Correct Answers -b. 1, 2, and 3 only
2. Which of the following are inclusion criteria for neonatal ECMO?
1. Reversible lung disease
2. Gestational age less than 35 weeks
3. Pulmonary barotrauma
4. Persistent acidosis
a. 1 and 3 only
b. 1, 2, and 3 only
c. 2 and 4 only
d. 1, 3, and 4 only - Correct Answers -d. 1, 3, and 4 only
3. Which of the following are considered types of EMCO?
1. VV
2. AV
3. VA
a. 1 and 3 only
b. 1 and 2 only
c. 2 and 3 only
d. 1, 2, and 3 - Correct Answers -d. 1, 2, and 3
4. ECMO is typically only considered in conditions when conventional support:
1. has not been successful in delivering oxygen (O2).
2. is unable to effectively remove CO2.
3. cannot provide adequate cardiac function.
4. has been in use for more than 4 days.
, a. 1 only
b. 1, 2, and 3 only
c. 1, 2, and 4 only
d. 1, 2, 3, and 4 - Correct Answers -b. 1, 2, and 3 only
5. Which of the following are absolute contraindications for the use of ECMO?
1. Lethal congenital anomalies
2. Grade III or higher intracranial hemorrhage
3. Mechanical ventilation with 100% O2 for greater than 13 days
4. Gestational age less than 34 weeks
a. 1 and 2 only
b. 1, 2, and 3 only
c. 2 and 4 only
d. 1, 2, 3, and 4 - Correct Answers -a. 1 and 2 only
6. Place the following statement in the correct order as they happen during normal
physiology.
1. O2 and carbon dioxide are exchanged.
2. Blood is pumped from the right side of the heart to the lungs.
3. The heart pumps oxygenated blood to the major organs and tissues.
4. Blood is returned to the left side of the heart.
a. 1, 2, 3, 4
b. 2, 1, 4, 3
c. 4, 3, 1, 2
d. 3, 4, 2, 1 - Correct Answers -b. 2, 1, 4, 3
7. Your patient is receiving ECMO and requires frequent medications. IV access is
limited. The physician asks for your recommendations on ways to improve the ease of
medication delivery. What would you suggest?
a. Establish intraosseous (IO) access.
b. Deliver the medications down the endotracheal tube.
c. Utilize the infusion ports along the tubing.
d. Aerosolize the medications. - Correct Answers -c. Utilize the infusion ports along the
tubing
19. Common complications of ECMO include which of the following?
1. Seizures
2. Bleeding
3. Arrhythmias
4. Neurologic complications
a. 1 and 3 only
b. 1, 2, and 3 only
c. 2 and 4 only
d. 1, 2, 3, and 4 - Correct Answers -d. 1, 2, 3, and 4
QUESTIONS AND ANSWERS
1. Which of the following are common indications for ECMO?
1. Persistent pulmonary hypertension of the newborn (PPHN)
2. Respiratory distress syndrome (RDS)
3. Meconium aspiration syndrome (MAS)
4. Congenital diaphragmatic hernia (CDH)
a. 1 and 3 only
b. 1, 2, and 3 only
c. 3 and 4 only
d. 2, 3, and 4 only - Correct Answers -b. 1, 2, and 3 only
2. Which of the following are inclusion criteria for neonatal ECMO?
1. Reversible lung disease
2. Gestational age less than 35 weeks
3. Pulmonary barotrauma
4. Persistent acidosis
a. 1 and 3 only
b. 1, 2, and 3 only
c. 2 and 4 only
d. 1, 3, and 4 only - Correct Answers -d. 1, 3, and 4 only
3. Which of the following are considered types of EMCO?
1. VV
2. AV
3. VA
a. 1 and 3 only
b. 1 and 2 only
c. 2 and 3 only
d. 1, 2, and 3 - Correct Answers -d. 1, 2, and 3
4. ECMO is typically only considered in conditions when conventional support:
1. has not been successful in delivering oxygen (O2).
2. is unable to effectively remove CO2.
3. cannot provide adequate cardiac function.
4. has been in use for more than 4 days.
, a. 1 only
b. 1, 2, and 3 only
c. 1, 2, and 4 only
d. 1, 2, 3, and 4 - Correct Answers -b. 1, 2, and 3 only
5. Which of the following are absolute contraindications for the use of ECMO?
1. Lethal congenital anomalies
2. Grade III or higher intracranial hemorrhage
3. Mechanical ventilation with 100% O2 for greater than 13 days
4. Gestational age less than 34 weeks
a. 1 and 2 only
b. 1, 2, and 3 only
c. 2 and 4 only
d. 1, 2, 3, and 4 - Correct Answers -a. 1 and 2 only
6. Place the following statement in the correct order as they happen during normal
physiology.
1. O2 and carbon dioxide are exchanged.
2. Blood is pumped from the right side of the heart to the lungs.
3. The heart pumps oxygenated blood to the major organs and tissues.
4. Blood is returned to the left side of the heart.
a. 1, 2, 3, 4
b. 2, 1, 4, 3
c. 4, 3, 1, 2
d. 3, 4, 2, 1 - Correct Answers -b. 2, 1, 4, 3
7. Your patient is receiving ECMO and requires frequent medications. IV access is
limited. The physician asks for your recommendations on ways to improve the ease of
medication delivery. What would you suggest?
a. Establish intraosseous (IO) access.
b. Deliver the medications down the endotracheal tube.
c. Utilize the infusion ports along the tubing.
d. Aerosolize the medications. - Correct Answers -c. Utilize the infusion ports along the
tubing
19. Common complications of ECMO include which of the following?
1. Seizures
2. Bleeding
3. Arrhythmias
4. Neurologic complications
a. 1 and 3 only
b. 1, 2, and 3 only
c. 2 and 4 only
d. 1, 2, 3, and 4 - Correct Answers -d. 1, 2, 3, and 4
