WBPSC 2020: All papers, Dialysis Technician 2019
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DTN/19
2020
TEST BOOKLET TEST BOOKI-ET SI]RIES
Time allowed: t] hours
Fult marks: 100
Answer all the questions.
Questions are of equal value.
Serial No. .... 001 Roll No.:
a
Signolure oJ the Candi.date:
INSTRUCTIONS
Candidates should read the following instructions carefully before answering the questions:
1. This booklet consists of 12 pages including this front page, Verify the Page Nos. and Test Booklet
series .,r! each page and bring at once to the Invigilator's notice any discrepancy. E
2. Answers will have to be given in the Special Answer-Sheet supplied for the purpose.
3. Before you proceed to mark in the Answer-Sheet in response to various items in the Test Booklet,
you have to frll in some particulars in the Answer-Sheet as per instructions sent to you in the
Admit Card. Do not fold the Answer-Sheet as this wiV resuh in error in your marks.
4. All questions are of multiple-choice answer-type. You will find four probable answers (A), (B),
(c) and (D) against each question. Find out which of the four answers appears to be correct or
the best. Now darken the circle corresponding to the letter of the selected answer in the
Answer-Sheet with Black Balt Point Pen as per instructions printed on the reverse of the Admit
Card and in the Answer-Sheet.
5. One and only one circle is to be fully blackened for answer. Any spot in any other circle (multiple
circle) or in wrong circle will be considered as wrong answer.
6. There will be negative marking of t mark for each wrong answer'
7. There is a blank page at the end of this Booklet for Rough Work'
g . The Special Answer-Sheet should be handeil over to the Invigilalor before leaving the Examinotion
Hall. You are permifreil to take away the used Test Booklet afier completion or the examination.
19969
Pleas Thrn Over
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DTN/19 A-2
1. The investigation commonly used to 6. The 2011 AAMI Standard forthe maximum
measure donor GFR before renal transplant is allowable bacteria count in water is Less than
(A) DMSA Scan (cfu/ml)
(B) MRI (A) 200
(C) DTPA Scan (B) r00
(D) CT Scan (c) o.2s
(D) 2
2. False negative urine dipstick for protein
occurs ln 7. If a dialyzer turns yellow, the first blood
(A) presence of blood test advised is
(B) alkaline urine (A) Sodium
(C) high urine specific gravity (B) Creatinine
(D) non albumin proteinuria (C) Potassium
(D) LFT and Viral Serology
3. Thrombocytopenia with paradoxical anerial
and / or venous lhrombosis occurs in 8. Anti N antibodies are associated with use of
(A) Type I HIT (A) Formaldehyde
(B) Fondaparinux use (B) Bleach
(C) Regional citrate anticoagulation (C) Heparin
(D) Type 2 HIT (D) Peracetic acid
.1. Vaccine is available for all except 9, In human, the Kidneys together receive
(A) Pneumococcus (A) 5070 of cardiac output
(B) Hepatitis C (B) 57o of cardiac output
(C) Varicella (C) \}Vo of cardiac output
(D) Hepatitis B (D) 25% of cardiac outpur
5. Which of the following is not used in 10. Plasmapheresis is given in all the following
clinical practice? diseases except
(A) Iron-dextran (A) G. B. Syndrome
(B) Iron Sucrose (B) Anti GBM disease
(C) Ferricarboxymaltose (C) TTP
(D) None of the above (D) Obstructive Uropathy
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A-3 DTN/19
11. Which of the following may cause a slow 16. The recommended single pool KVv for a
heart rate? dialysis session in a CKD 5 patient is at least
(A) Hypematremia (A) 1.s
(B) Hypercalcemia (B) 1.6
(C) Hyperkalemia (c) 1.2
(D) Hypokalemia (D) 0.8
17. The maximum decrease ofTCV acceptable
12. The most likely cause ofpost-renal failure
for continued use of a dialyzer is
IS
(A) lOVo
(A) Severe dehydration
(B) 2O7o
(B) Nephrotoxic drug
(C) 3OVa
(C) Glomerulonephritis
(D) 4OVo
(D) Benign prostatic hypertrophy
18. Imaging of the AV fistula and grafts are
13. The following may be the symptoms of done by all except
dialysis disequilibrium syndrome except (A) X ray
(A) Skin rash (B) Doppler ultrasonography
(B) Coma (C) Magnetic resonance angiography
(C) Seizures (D) Access angiography
(D) Nausea, Vomiting
19. Dialysis patients have lowest mortality risk
with a predialysis serum potassium level of
14. Which of the following has got the longest (mmol/L)
half life?
(A) 5.0 - 5.s
(A) Darbopoietin
(B) 2.0 -2.s
(B) CERA
I (c) 6.0 - 6.s
(C) Erythropoietin alpha
(D) 7.0 - 7.s
(D) Erythropoietin beta
a
20. Usually dialysis is initiated in CKD V
15. Usual number of cuffs in Perm Cath is patients when the eGFR/l'73m2 decreases to about
(A) 2 (A) 8 mVmin
(B) I (B) 25 mUmin
(c) 3 (C) 30 ml/min
(D) 0 (D) 27.5 ml/min
Plea$ Turn Over
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DTN/19 A-4
21, The concentration of Potassium in PD fluid 26. Airembolismduring hemodialysis is mainly
IS prevented by
(A) 7*ro (A) Venous line air trap and detector
(B) 2MeqlL (B) Arterial line air trap and detector
(C) z.2MeqL (C) Dialyzer
(D) 3 Meq/L (D) Vascular access
22. All the followings are LMWH compounds
27. AV fistula infections are usually caused by
except
(A) Dalteparin (A) Staphylococcus
(B) Nadroparin (B) Pneumococcus
(C) Fondaparinux (C) Virus
(D) Protozoa
(D) Enoxaparin
23. All ofthe following are used in conservative 28. The dose of LMWH is expressed in
management of hyperkalemia except (A) Antifactor Xa Institute Choay units
(A) Nebulisation (B) Antifactor IX Institute Choay units
(B) Calcium gluconate (C) Antifactor II Institute Choay units
(C) Insulin and dextrose (D) Antifactor XIIa Institute Choay units
(D) Magnesium sulphate
29. What is the difference between diet for
Z. Calcium concentration in Dialysis solution peritoneal dialysis @D) and hemodialysis (HD)
is (meq/L)
patients?
(A) 4.s - s.5
(A) More Calories in PD
(B) 1.0 - 1.25
(B) Morc Proteins in PD
(c) 2.s - 3.0
(C) Morc Calcium in PD
(D) 125- r45
(D) More Carbohydrates in PD
25. ldeal shape of a storage tank in water
treatment plant is 30. The heparin half life in dialysis patients is
(A) conical with apex at the bottom (A) 48 hours
(B) conical with apex at the top (B) 5 -8 hours
(C) cylindrical (C) l0 - 12 hours
(D) square (D) 30 minutes - 2 hours
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A-5 DTN/19
31. The Sodiumconcentration in a hemodialysis 36. The Urine output in the Risk Stage ofRIFLE
solution is usually between (Meq/L) cntena rs
(A) 155 - 165 (A) < 0'3 ml/kg/hr for 24 hours
(B) 165, l7s (B) Anuria for 12 hours
(c) 115 - l2s (C) < 0'5 mVkg/hr for 6 hours
(D) 135 - 145 (D) < 0.5 mVkg/hr for 12 hours
32. Puncture of the Intemal Jugular vein is
preferred by which technique? 37. All of the following are complications of
(A) USG guidance Plasmapheresis except
(B) Blind puncture (A) Hypotension
(C) CT guidance (B) Bleeding
(D) MRI guidance (C) Hypercalcemia
(D) Anaphylaxis (FFP)
33. In routine heparin, constant infusion
method, heparin infusion is given at the rate of
(per hour) 38. The heparin infusion line is situated in the
(A) 1200 units (A) Pre pump segment
(B) 3000 units (B) Post pump segment
(C) 4000 units (C) Venous line
(D) 5000 units (D) Dialyzer
34. Which of the following is the leastcommon
cause of intradialytic hypotension? 39. The endotoxin level in ultrapure water is
(A) Antihypenensive medication below (EU/ml)
(B) Anaemia (A) 0.03
(C) Pericardial tamponade (B) 0.0s
(D) Excessively low target (dry) weight (c) 0.07
(D) 0.s
35. Signs ofclotting in the exrracorporeal circuit
are all except
(A) Extremely light coloured blood 40. All may be the complications of Intemal
(B) Shadows or black streaks in the Jugular Catheter Insertion except
dialyzer (A) Hemothorax
(C) Teetering (B) Pneumothorax
(D) Rapid filling of transducer monitors (C) Retroperitoneal hemorrhage
with blood (D) Arterial Puncture
Plea$ Turn OVer
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DTN/19 A-6
41. Darbopoietin alfa has a half life of .15. The rccommended protocol to prevent air
(A) 2-4hours embolism after rcmoval ofdialysis catheters from
(B) 30 minutes to I hour the neck are all except
(C) 25 - 50 hours (A) no heparin on the day of planned
removal.
(D) 8 hours
(B) patient in head up position during
catheter removal.
(C) Air occlusive dressing.
(D) None of the above
42. The standard volume ofCAPD bag in adult
1S
(A) 2lir
(B) 4 lir 47. The Molecular weight of beta 2
(C) 500 ml microglobulin is
(D) 750 ml (A) l 1800
(B) 12800
(c) 13800
(D) 14800
43. The recommended dose of Hepatitis B
vaccine in Cl(D patien(s on each session is
(A) 40 mcg 4E. URR is expressed as
(B) 20 mcg (A) a percentage
(C) 10 mcg (B) M mol/L
(D) 50 mcg (C) Ms/dl
(D) Meq/L
44. Bleach is
(A) Sodiumhypochlorite 49. The lock commonly used with heparin in
double lumen hemodialysis catheter lumen is
(B) Potassiumhypochlorite
(A) Gentamycin
(C) Magnesium hypochlori te
(B) Ciprofloxin
(D) Formaldehyde
(C) Ceftriaxone
(D) Meropenem
45. Causes of intradialytic hypotension are all
except 50. Deionzers remove all except
(A) Large weight gain (A) Calcium
(Bt Short weekly dialysis time (B) Aluminium
(C) Excessively high target dry weight (C) Fluoride
(D) Anaemia (D) Endotoxins
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A.-7 DTN/19
51. Conductivity is measured in terms of 56. The duration of the disease required for
(A) Milli Siemens per cm declaring chonic kidney disease is
(B) Milli Siemens per second (A) 1 month
(C) Millilitres per cm (B) 2 months
(D) Millilitres per second (C) 3 months
(D) 4 months
52. The temporary access that is usually avoided
57. The volume ofdialysis solution the patients
if AV fistula is planned on same side: are exposed during each dialysis treatment is
(A) Subclavian (A) 400 500 L
(B) Internal jugular (B) 120 200 L
(C) Femoral (c) 50 - 100 L
(D) External jugular (D) 600 - 700 L
53. eKt/v is 58. Two bags with a Y Set System using
flush - before - fill technique is used in
(A) more than spKt/v
(A) CAPD
(B) less than spKt/v
(B) Hemodialysis
(C) equal to spKt/v
(C) SLED
(D) None of the above
(D) SCUF
54. The normal range for Serum phosphorus is 59. Which of the following is not a component
(mg/dl) of Juxtaglomerular apparatus?
(A) e-1r (A) Macula densa
(B) 135 - 145 {Br Exlraglomerular mesangium
(c) 8-10 (C) Terminal portion of the afferent
(D) 2.7 - 4.6 arteriole
(D) Collecting duct
55, A commonest complication while doing an 60. The most common cause ofchronic kidney
internal iugular access is disease is
(A) Recunent laryngeal nerve palsy (A) Diabetes
(B) Arterial puncture (B) Hypertension
(C) Hemothorax (C) Glomerulonephritis
(D) Pneumothorax (D) Polycystic kidney disease
Plea$ Turn OVer
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DTN/19 A-8
61. The ion that is required for the coagulation 66. Which ofthe following is not nephrotoxic?
process is (A) Amikacin
(A) Sodium (B) Gentamycin
(B) Potassium (C) Diclofenac
(C) Calcium (D) Amlodipin
(D) Magnesium
67. The 'empty bed contact time' of the water
62, Which of the following drug can cause with the carbon must be at least
acute rise of creatinine?
(A) 2 hours
(A) Amikacin (B) 50 minutes
(B) Calcium Carbonate
(C) 10 minutes
(C) Amlodipin
(D) 5 hours
(D) Metoprolol
63, The effectiveness ofHepatitis B vaccination 68. We usually normalize GFR to body surface
area
can be measured by
(A) AntiHBs titre (A) per 2'5m2
(B) HBsAg titre (B) per 0'5m2
(C) HBeAg titre (C) per 1m'?
(D) HBcAg titre (D) per 1.73m2
64. BCM is used to measure 69. Dialysate flow rate is zero ml/min in
(A) Dialyzer efficacy (A) SCUF
(B) Dry weight (B) SLED
(C) Bone mineral density (C) Hemodialysis
I
(D) Water quality (D) Continuous hemodiafiltration
65. All of the following may cause hemolysis 70. Which of the following is true regarding
during dialysis except noctumal intermittent peritoneal dialysis (NIPD)?
(A) Kin-ked blood line tubing (A) In day time abdomen is kept dry
(B) Chloramine (B) There is a long day dwell
(C) Calcium (C) There is a moming day dwell
(D) Copper (D) There is an evening day dwell
4
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A-9 DTN/19
71. Excess Aluminium in watercauses all except 76. The dialysate temperature should in the
(A) Ventricular fibrillation range of
(B) Dialysis encephalopathy syndrome (A) 36.s 38.5C
(C) Anaemia (B) 34.s - 36.sC
(D) Bone disease (c) 38.s - 40.sc
(D) 40.5 - 42.5C
72. High flux dialyzers usually have 77. Increased delivery of NaCl to the macula
(A) KoA > 20mJ./h./mmHg densa causes:
(B) KUF > 2Omllh./mmHg (A) Vasodilation of afferent arteriole
(C) KoA < SmVh/mmHg (B) Vasoconstriction of afferent arteriole
(D) KUF < 8ml/h./mmHg (C) Vasoconstriction of efferent arteriole
(D) None of the above
73. Argatroban is a
78. Factors favouring clotting of the
(A) Heparinoid extracorporeal circuit are all except
(B) LMWH (A) low ultratiltration rate
(C) Heparin (B) low blood llow
(D) Thrombin inhibitor (C) high hematocrit
(D) intradialyt ic Iipid inlusion
74. In Noctumal Hemodialysis, the duration
per session is 79. DRIL procedure is used to treat
(A) 6 -10 hours (A) Catheter related blood stream
(B) 24 hours infection
(C) 1'5-3hours (B) CAPD peritonitis
(D) 4 hours (C) lschemia in AV fistula hand
(D) an AV fistula pseudoaneurysm
75. The CKD 5 patients, in HDF featment, the E0. High Serum Alkaline Phosphatase in
UF volume in post dilution mode, per treatment combination with elevated serum PTH is an
should be targeted to indication of
(A) 100 L (A) Hyperactive parathyroid gland
(B) 20 -24 L (B) Hypoactive parathyroid gland
(c) t -2L (C) Hyperthyroidism
(D) 3-5L (D) Hypothyroidism
Pleas Turn OVer
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DTN/I9 A-10
81. In Cockcroft-Gault equation, the E6. Which of the following site is usually
multiplication factor used if the sex is female is avoided for doing temporary access in a patient
(A) 0.85 planned for renal transplant?
(B) 1.7s (A) Right femoral
(c) 1.154 (B) Right lnternal jugular
(D) 1.210 (C) Left intemal jugular
(D) Left femoral
82. Brescia Cimino fistula is
(A) Radiocephalic 87. All of the following membranes are
(B) Snuffbox synthetic except
(C) Ulnar artery to basilic vein (A) Polysulfone
(D) Brachial artery to cephalic vein (B) Cellulose
(C) PAN
(D) PMMA
83. Absolute indications for initiation ofdialysis
are all except
(A) Intractable volume overload 88. The usual no. cuffs in a CAPD catheter is
(B) Hypokalemia (A) 1
(C) Severe hyperkalemia refractory to (B) 2
conservative treatment
(c) 3
(D) Metabolic acidosis refractory to
(D) 4
conservative treatment
84. Indications of Hepann free dialysis are all 89. The left kidney is approximately at the
except vertebral level of
(A) Eye Surgery (A) T12-L3
(B) Pericarditis (B) L4 - L5
(C) Kidney biopsy done 1 day back (c) D3 - D6
(D) Normal PT, APIT and platelet count (D) 54 - Ss
85. The length of the dialysis session in first 90. Which of the following can be given to
dialysis is prevent hypotension during dialysis?
(A) 2 hours (A) Beta blockers
(B) 4 hours (B) ACE inhibitors
(C) 4 and half hours (C) Clonidin
(D) 5 hours (D) Sertraline
Text of page 11
A- l1 DTN/19
91. Hydronephrosis is commonly associated 96. Erythropoietin therapy should not be started
with until the hemoglobin falls below
(A) Dehydration (A) lOg/dl
(B) Snake bite (B) 1lg/dl
- (C) Stone (C) 12gldl
(D) Diaberes (D) 13g/dl
92, The following may be helpful to reduce
itching in CKD patients except
(A) Anrihisramines 97. The osmotic agent used in PD solutions is
(B) Pregabalin (A) Sodium Chloride
(C) Tacrolimusointmenr (B) Sodium Bicarbonate
(C) Calcium Chloride
(D) keeping the skin dry
(D) Glucose
93. All of the following are advantages of
albumin as replacement solution in plasmapheresis
except 98. Which of the following is not the
(A) No risk of hepatitis predisposing factor for muscle cramp?
(B) No concem about ABO blood goup (A) Normal or high Sodium dialysis
(C) Allergic reaction are rare solution
I
(D) Supplies coagulation factors (B) Hyporension
(C) Hypovolemia
94. A hemodialysis patient suddenly develops (D) High ulrrafiltration rate
trouble breathing, hives, itching and hypotension.
The most likely cause is
(A) an air embolism
99. The first measure taken in case of severe
(Bt an anaphylactic reaction hypotension during hemodialysis is
(C) Angina (A) stop ul trafil trarion
(D) Disequilibrium syndrome (B) raise foot end of bed
(C) infuse 257o Dexfiose
95. The difference in the diet ofa Hemodialysis (D) infuse Mannitol
patient and a predialysis patient is
(A) more protein intake in hemodialysis
patient.
(B) more potassium intake in hemodialysis 100, The normal range for Serum calcium is
(mg/dl)
patient.
(C) more sodium intake in hemodialvsis (A) 8.4 - 10.2
patient. (B) 1_2
(D) more calcium intake in hemodialvsis (c) 2-3
patient. (D) 5-6
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DTN/19 A,-12
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Source: West Bengal Public Service Commission. Question paper published by West Bengal Public Service Commission.