Quiz page for (QID18) W5_POB – Mother and Child: Pediatric Perspective

(QID18) W5_POB – Mother and Child: Pediatric Perspective

To receive the accreditation, you will need to answer 8 questions from the 10 listed correctly.

1 / 10

Which answer about plasmatic coagulation testing in children is correct?

PT/INR are superior to viscoelastic testing in monitoring vitamin K antagonists

PT/INR are superior to viscoelastic testing in children under the age of 1 year

PT/INR reflects the phase of clot propagation and clot lysis

PT/INR reflects the phase of platelet activation

2 / 10

Which answer about plasma transfusion in children is correct?

Plasma transfusion can be guided by viscoelastic testing (e.g. prolonged CT)

Plasma transfusion in newborns should be only guided by prolonged PT/INR

The dose of plasma transfusion is 10mL/kg in a massively bleeding newborn

Plasma transfusion can be guided by viscoelastic testing (e.g. low MCF)

3 / 10

Which answer is correct?

Acquired hypofibrinogenemia should be treated with plasma transfusion as first line approach in infants

Acquired hypofibrinogenemia is usually a late finding of intraperioperative coagulopathy in children

All of the answers above are wrong

Acquired hypofibrinogenemia can be assessed by reduced maximum clot firmness using the EXTEM test

4 / 10

Regarding the adverse effects of FFP, which of the following sentences is true?

Dyspnea can be used to differentiate between TRALI and TACO, as only patients with TRALI manifest dyspnea

Pulmonary edema on chest radiography can be used to differentiate between TRALI and TACO, as only patients with TACO present with pulmonary edema

The risk of TRALI (Transfusion related acute lung injury) is much higher when using RBC transfusion compared to FFP transfusion

Plasma induced TRALI incidence can be reduced by careful selection of plasma donors and implementation of low-TRALI risk donor strategies

5 / 10

Regarding the Fresh Frozen Plasma (FFP ) and Frozen plasma 24 (FP 24), which of the following is true?

The concentration of factors V and VIII is much higher in FP24 compared to FFP

They are both obtained by freezing platelet-poor-plasma at minus 18 degrees Celsius within 48 hours

They can be stored for 24 months at 1-6 degrees Celsius

Fresh Frozen Plasma (FFP ) and Frozen plasma 24 (FP 24) are very similar products

6 / 10

The use of intraoperative cell salvage would be better indicated in which one of the following clinical cases?

Female 18 yo, idiopathic scoliosis, preop Hb 11.5 g/dL

Female, 88 yo, preop Hb 13.1 g/dL, total knee replacement

Male 79 yo, revision of septic hip replacement

Male 21 yo, idiopathic scoliosis, preop Hb 14.5 g/dL, estimated blood loss 12% of volemia

Female, 23 yo, periacetabular osteotomy, preop Hb 12.9 g/dL, estimated surgical time 290 min

7 / 10

Regarding hemostasis in chronic liver disease, which one the following sentences is true:

Low PAI-1 levels are found

Levels of protein C and S are increased

Levels of factor VIII are increased

Von Willebrand factor is decreased

Levels of ADAMTS13 are increased

8 / 10

In how many months can women plan a pregnancy after myomectomy?

6 months

24 months

12 months

3 months

9 / 10

What arteries are temporarily occluded during myomectomy?

External iliac

Ovarian

Uterine

Internal iliac

10 / 10

What is the purpose of temporary clamping of the uterine arteries during myomectomy?

reduce inflammation

to reduce blood loss

to increase oxygen

to improve blood quality

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