MRCP UK EXAMINATIONS

CARDIOLOGY

VENTRICULAR SEPTAL DEFECT

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Capillary refill time is normally:
A
15 seconds
B
7-10 seconds
C
4 to 6 seconds
D
1 to 3 seconds
Explanation: 

Detailed explanation-1: -In a healthy person, a normal capillary refill should only take a few seconds: Newborns could take as little as 2 seconds. Adults refill in about 3 seconds. Older adults often take more than 3 seconds.

Detailed explanation-2: -A capillary refill time of three seconds or more should be considered abnormal. The results show that an abnormal CRT of 3 seconds or more increases the likelihood of a serious outcome including death and dehydration – however a normal CRT does not make a serious outcome less likely.

Detailed explanation-3: -In healthy children, a CRT of 2 seconds or less should be expected when measured on the finger. If the foot or chest is used for assessment, CRTs of 4 seconds or less should be considered normal.

Detailed explanation-4: -Capillary Refill Time Normal CRT is 1 to 2 seconds. This is consistent with a normal blood volume and perfusion. A CRT longer than 2 seconds is a subjective sign of poor perfusion or peripheral vasoconstriction.

Detailed explanation-5: -A CRT> 2 seconds or prolonged CRT is suggestive of an early sign of shock. Several other factors can affect the CRT measurement and therefore its results. They may include: Peripheral vascular disease. Hypothermia.

There is 1 question to complete.