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Dialysis - Clinical Science Questions and Answers

This set of Clinical Science Multiple Choice Questions & Answers (MCQs) focuses on “Dialysis”.

1. Dialysis commonly refers to ___________


a) heamo dialysis
b) chemo dialysis
c) liver dialysis
d) pancreatic dialysis
View Answer

Answer: a
Explanation: When the term dialysis is mentioned, it usually means the purification of blood and removal of nitrogenous
wastes from the body. It refers to the work done by the kidney by drawing out blood and purifying it.

2. The membrane used for dialysis is made of ____________


a) cellulose
b) polyvinyl chloride
c) polyethylene
d) chitin
View Answer

Answer: a
Explanation: Cellulose is an easily available material which does not cause any harm to the blood or body. It is cheap and
with certain tampering, it’s strength can be increased. It has a good pore size, small enough to stop the blood cells but large
enough to pass out the waste products.

3. The latest form of dialysis machine being used has what kind of membrane arrangements
a) Parallel Plate
b) Hollow Fibre
c) Coil Tube
d) Hollow Plate
View Answer

Answer: b
Explanation: The hollow fibre is dialyzer is a tube like structure with fibers planted in polyurathanes at the opposite ends.
This forms hollow pipe like structures for the blood to flow through and allow for the exchange of materials across the
membrane.

4. Dialysis can also be used in situations of _________


a) extreme fever
b) acute poisoning
c) low blood pressure
d) blood transfusions
View Answer

Answer: b
Explanation: When a person is suspected of acute poisoning, the person may be made to undergo dialysis. Poison will be
regarded as a toxin by the body and will be removed normally by kidney and liver which may cause damage to these organs.
Thus, the blood is extracted out and sent to the dialysis machine so that any harm to the organs and the body can be
minimized.

5. The parameters being monitored during dialysis are _________


i. Blood Pressure
ii. Diabetes
iii. Embolus Formation
iv. Pulse
v. Temperature
vi. Flow Rate
v. Albumin level
vi. Createnine
vii. Repiratory Rate
a) i, ii, vi, vii
b) ii, iii, iv, vii
c) i, ii, iv, v, vi, vii
d) vi, v, vi, vii
View Answer

Answer: c
Explanation: All the parameters mentioned above are monitored for dialysis but some are monitored before and some after
the dialysis. The parameters monitored during dialysis are of blood pressure, embolus formation, pulse, temperature, flow
rate and respiratory rate as they directly affect the health of the patient and are indicative of abnormalities.

6. The dialysis that can be performed even at home is ___________


a) Apheresis
b) Peritoneal Dialysis
c) Hemodialysis
d) Perfusion
View Answer

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Dialysis - Clinical Science Questions and Answers https://www.sanfoundry.com/clinical-science-questions-answers-dialysis/

Answer: b
Explanation: In this procedure, the diaphragm is used to conduct dialysis. There is cannula which allows the electrolyte to
be entered in the body. The electrolytes stay in the body for up to 6 hours during which the person’s blood vessels and
diaphragm act as filtering membranes and the unwanted products like creatinine and urea get filtered out. Then the stopper
on the cannula is opened once more and the electrolyte is allowed to flow out.

7. The principle behind dialysis is ________


a) Adhesion
b) Cohesion
c) Capillary Action
d) Reverse – Osmosis
View Answer

Answer: d
Explanation: It is the movement of solutes from the area of high concentration to low concentration through a semi
permeable membrane. Dialysis is done with the electrolytes flowing through one side and the blood flowing in the opposite
direction. The two fluids flow in opposite directions across a semi permeable membrane which causes a pressure to be
created and the wastes flow out from the blood to the dialysate.

8. The dialysate consists of __________


i. Sodium
ii. Potassium
iii. Iron
iv. Carbon
v. Magnesium
vi. Manganese
vii. Chlorine
viii. Sulphur
ix. Phosphorus
x. Calcium
a) i, iii, viii,ix
b) vi, vii, ix,
c) i, ii, v, vii, x
d) ii, iii, ix, x
View Answer

Answer: c
Explanation: Sodium 140.0 mmol / l, potassium 1.0 mmol / l, calcium 1.25 mmol / l, bicarbonate 34.0 mmol / l, magnesium
0.5 mmol / l, chloride 107.5 mmol / l, glucose 5.5 mmol / l. Normally, these ions are present in the blood plasma as well.
Since the principle is osmosis under high pressure, also called as ultra-filtration, these salts help create a pressure difference
across the membrane. This causes the unwanted materials like creatinine and urea to be filtered out from the blood.

9. How does the doctor diagnose dialysis?


a) GFR via Blood Test
b) Number of WBCs in Blood Test
c) Presence of blood in urine
d) Low urine quantity
View Answer

Answer: a
Explanation: Glomerular Filtration Rate (GFR) is used to test if the kidneys are functioning normally. In kidneys, the
glomerulus is the site for ultrafiltration, i.e. filtration of blood under high pressure. Everything except cellular components
moves out in this phase and the required materials are reabsorbed in the following phases. Thus, if the glomerulus is not
functioning well, unwanted wastes like creatinine will be high in the blood which will all get reflected in the GFR. Thus, the
doctors will be able to suggest if the person needs to go for dialysis or not.

10. When a subclavian vein or a femoral vein is used for dialysis, what kind of incision/insertion is made?
a) Catheter
b) Shunt
c) Graft
d) Fistula
View Answer

Answer: a
Explanation: When the femoral vein or the subclavian vein is used to extract blood for dialysis, a simple catheter is used. A
simple incision at the site of insertion is made and is used to insert the catheter. Usually, it is filled with heparin & capped to
maintain patency between dialysis treatments.

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