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Biomaterials BIOL0112 2012 Exam 2 2 points/answer Septal Defect Repair 1. The atrial and ventricular septum are primarily comprised of a. Connective tissue b. Smooth muscle tissue c. Neural conductive tissue d. Epithelial tissue 2. Fetal circulation a. Is an open looped system that includes the pulmonary vasculature b. Involves both the ductus arteriosis and the atrial septal opening c. Involves only the ductus arteriosis d. Involves only cardiac shunting mechanisms 3. Atrial septal defects a. Always manifest clinical symptoms b. Result in the escape of blood from the arterial side of the circulation back into the venous side of the circulation c. Are always diagnosed prior to the age of 6 d. Correlate with an 80% mortality rate 4. Repair and closure of ventricular septal defects a. Are only addressed in older patient populations b. Can only be accomplished following atrial defect closures c. are primarily accomplished by endovascular (noninvasive approach) procedures d. are primarily accomplished by intracardiac procedures 5. The most relevant material characteristic of the nitinol struts that support ASD closure devices is a. Fatigue strength b. Impact strength c. Yield strength d. Compressive strength 6. Thermoplastic materials that can be used in ASD closure devices a. Become liquid when heated and solid when cooled b. Become solid when heated and liquid when cooled c. Can be molded but not extruded d. Can be extruded but not molded 7. Patients that present with a patent Ductus Arteriosis a. Have arterial blood that escapes into the venous circulation b. Have venous blood that escapes into the arterial circulation c. Always present with an associated ASD d. Always present with an associated VSD 8. The host response most closely associated with successful implant of an ASD closure device is a. Neoendothelialization b. Foreign body giant cell response c. Ulceration d. Extensive fibrosis 1 9. The primary plasma protein that binds to both ASD and VS closure devices is a. Albumin b. Thrombin c. Fibrinogen d. Complement Dialysis 10. In a 24 hour period the kidney clears a. 5-10 grams of urea b. 15-20 grams of urea c. 5-10 grams of creatinine d. 15-20 grams of creatinine 11. In a 24 hour period, the kidney produces (on average) a. 500ml of fluid b. 1.5 L of fluid c. 15 L of fluid d. 150L of fluid 12. A malnourished patient with normal renal function a. Usually has normal levels of creatinine and urea b. Usually has increased levels of creatinine and urea c. Usually has decreased levels of creatinine and urea d. None of the above 13. A nourished patient with renal disease a. Usually has normal levels of creatinine and urea b. Usually has increased levels of creatinine and urea c. Usually has decreased levels of creatinine and urea d. None of the above 14. Kidney function is reported in terms of a. Glomerular protein binding b. Distal tubular secretion rates c. Proximal tubule reabsorption rates d. Renal clearance rates 15. The molecule used for testing glomerular filtration rates is a. Creatinine b. Urea c. Inulin d. Albumin 16. Patients that elect for peritoneal dialysis a. Between 1-10% b. Between 10-20% c. Between 20-30% d. Between 30-40% 17. The two ways to access the vasculature during hemodialysis are a. Arterio-venous fistula b. Artificial vascular graft 18. Removal of fluid during hemodialysis occurs by a. Diffusive mechanisms alone b. Convective mechanisms alone c. Diffusion and convection d. Convection and ultrafiltration 2 19. Complement activation during hemodialysis is primarily induced by a. C3 binding and activation b. C3b binding and activation c. C5 binding and activation d. C5a binding and activation 20. The dialysis membrane most closely associated with complement activation is a. Polypropylene b. Cellulose c. Polysulphone d. Polylactide Drug and Gene Delivery for Cardiovascular Disease 21. The metal alloy used in stent applications due to its shape memory responses is a. Cobalt chromium b. Titanium c. Stainless steel d. Nitinol 22. Controlled drug delivery that occurs through a semi permeable membrane is classified as a. A matrix delivery system b. A reservoir system c. A bioerodible system d. Extended-release oral delivery system 23. Delivery systems that have the largest surface to volume ratios include a. 10nm b. 1000nm c. 10um d. 1000um 24. The formation of polyplexed drug delivery systems is based on a. Covalent bonding b. Electrostatic interactions c. Surface adhesion d. Surface immobilization 25. A non-viral vector system that can be used in conjunction with the gene gun is a. Lipopolex system b. Polyplex system c. Plasmid DNA system d. Artificial chromosome 26. Transfection of bone marrow cells is most effective with? a. Adenovirus b. Adeno-associated virus c. Retrovirus d. Herpesvirus 27. Which type of viral vector is most appropriate for transfecting neurons? a. Herpes simplex virus b. Retrovirus c. Adenovirus d. Adeno-associated virus 3 28. The vascular cells that must be repopulated in order to restore a disease-free vascular lumen are a. Smooth muscle cells b. Endothelial cells c. Advential cells d. Connective tissue cells 29. The first drug-eluting stent, developed by Boston Scientific, Inc., that effects tubulin polymerization of smooth muscle cells is a. Paclitaxel-releasing b. Sirolimus-releasing c. Methotrexate-releasing d. Prednisone-releasing 30. The Taxus stent includes a polymer-coated bare metal construct that a. Degrades over time thus releasing drug b. Leaches drug over time but does not degrade c. Provides a bolus release of drug upon implantation d. Swells upon implantation 31. Following transfection of the target cell, the principle barrier to delivery of foreign DNA is a. Migration through the nuclear pores b. Release from the endosome c. Enzymatic degradation in the cytoplasm d. Transcription in the nucleus 32. Transient gene expression of VEGF following myocardial cell transfection is most efficiently delivered by a. Retroviral vectors b. Herpes simplex vectors c. Adeno-associated vectors d. Adenoviral vectors 4