1 the effect a solution has on cell volume

a) Tonicity
b) Osmolality
c) Osmolarity
d) Hyperosmolar
e) Hypoosmolar

2 hypertonic solution can

a) Increase cell volume
b) Decrease cell volume
c) Not affect cell volume
d) Be a5%dextrose water
e) Be a 0.45% NACL
3- About normal saline all are true except
a) used in dehydration
b) treatment of mild sodium depletion
c) can be used in hyperkalemia
d) treatment of hypervolemia
e) Used in DKA
4- regarding dextran all are true except
a) natural colloid
b) greater increase in plasma volume
c) Not used for volume expansion
d) Decrease in blood viscosity
e) Interfere with cross-matching
5- Which of the followings decrease the bioavailability of amphotericin
a) dextrose water
b) normal saline
c) lactated ringers
d) Hetastarch
e) hypertonic saline
6- additional fluid loss include all are except
a) polyuria
b) NG loss
c) Vomit
d) Diarrhea
e) Fasting time
7- blood product with high viscosity is
a) Platelet
b) Plasma
c) Packed red blood cell
d) Cryoprecipitate
e) Whole blood
8- infusion of 1L of 0.9%NACL will result in
a) Increase intravascular volume 1L
b) Decrease extravascular volume
c) Total volume expansion 1100ml
d) No change in plasma volume
e) Increase intravascular volume by50%
9- indication for platelet transfusion
a) Shocked patient
b) Hb less than7
c) Platelet count less than 100000 for minor surgery
d) Platelet count less than1000000for neurosurgical procedure
e) All of the above
10- regarding TRALI which is true
a) Common complication
b) Occur because of neutrophil antibodies in donor product.
c) Managed as anaphylaxis
d) Commonly occur after transfusion of red blood cell
e) A&C
11-regarding delayed hemolytic reaction which is true
a) Life threatening
b) Occur 2hrs after transfusion
c) Diagnosed by coombs test
 d) Decreased unconjugated bilirubin
e) B&c
12- indication for cryoprecipitate is
a) Sever blood loss
b) Hb less than 8
c) Neutropenia
d) Hemophilia A
e) A&B
13- young male with unresponsive shock need
a) Red cell concentrate
b) Cryoprecipitate
c) White blood cell
d) Plasma
e) Platelet
14- ------------- is used for burn patient (parkland formula)
a) 0.9%NACL
b) 0.45%NACL
c) Dextrose water
d) Lactated ringer
e) Albumin
15- Hartmann solution differ from ringer by
a) Addition of Mg
b) Addition of potassium
c) Addition of sodium
d) Addition of bicarbonate
e) Addition of lactate
16- is best fluid for dilution of blood
a) Heamacel
b) Lactated ringer
c) NACL
d) Dextrose water
e) A&B
17-nuha develop symptoms of chills nausea and chest pain after blood start to infuse may denote to
a) Delayed hemolytic reaction
b) TRALI
c) Purpuric reaction
d) Acute hemolytic reaction
e) Infection
18- Sara’s spo2 drop to80 4hrs after transfusion of FFP she is most likely develop
a) Anaphylaxis
b) Graft versus host disease
c) TRALI
d) Acute hemolytic reaction
e) Delayed hemolytic reaction
19- indication for blood transfusion include
a) Hb less than10 in icu patient
b) Shocked patient unresponsive to fluid
c) Hb less than 9 in cardiac patient
d) A&d
e) B&C
20- 1unit of platelet increase count by
a) 30000-60000
b) 100000
c) 1500000
d) 5000-10000
e) 50000
21-ali taking warfarin and he need emergency craniotomy he should
a) Take RBC concentrate
b) Take plasma
c) Take cryoprecipitate
d) Postpone surgery
e) Take whole blood
22- of the following used to decrease allergic reacton
a) FFP
b) Red cell concectrate
c) Leukocyte depleted RBC
d) Whole blood /e) plasma