Bleeding Disorders & Venous Thrombosis

Beschreibung

Tuesday's 2 lectures in one quiz.
Matthew Coulson
Quiz von Matthew Coulson, aktualisiert more than 1 year ago
Matthew Coulson
Erstellt von Matthew Coulson vor etwa 5 Jahre
18
1

Zusammenfassung der Ressource

Frage 1

Frage
Vitamin K is essential for the activation of which four coagulation factors?
Antworten
  • Factor I
  • Factor II
  • Factor IIII
  • Factor IV
  • Factor V
  • Factor VI
  • Factor VII
  • Factor VIII
  • Factor IX
  • Factor X

Frage 2

Frage
Haemophilia A is a deficiency of Factor [blank_start]VIII[blank_end] Haemophilia B is a deficiency of Factor [blank_start]IX[blank_end]
Antworten
  • VIII
  • VII
  • IX
  • X
  • V
  • IX
  • V
  • VII
  • VIII
  • X

Frage 3

Frage
All clotting factors are produced in which organ? The [blank_start]liver[blank_end]
Antworten
  • liver

Frage 4

Frage
In terms of dietary intake, Vitamin K deficiency can occur in those who consume low amounts of [blank_start]green, leafy foods[blank_end]
Antworten
  • green, leafy foods
  • meat (such as beef, lamb, chicken)
  • oily fish

Frage 5

Frage
Vitamin K requires the presence of [blank_start]Bile[blank_end] salts in order to be successfully absorbed in the intestines.
Antworten
  • Bile

Frage 6

Frage
All babies are given an injection of [blank_start]Vitamin K[blank_end] at birth to prevent the development of Haemorrhagic Disease of the Newborn
Antworten
  • Vitamin K

Frage 7

Frage
A man presents to A&E after being hit by a lorry whilst riding his motorbike. Multiple severe fractures are found by the attending doctors. After a short period of time in the hospital the nurses start to notice that the man is bleeding from his venflon sites and has also developed a diffuse purpura. What condition is this man likely suffering from? [blank_start]Disseminated Intravascular Coagulation[blank_end]
Antworten
  • Disseminated Intravascular Coagulation

Frage 8

Frage
How should DIC be treated in acute care?
Antworten
  • Treat the cause of the DIC (fractures, sepsis, etc)
  • Give emergency clotting factors and platelets via FFP and platelet transfusion
  • Emergency blood transfusion to replace the blood lost via the DIC

Frage 9

Frage
Prothrombin time tests for the presence of which coagulation factor?
Antworten
  • Factor VII
  • Factor VIII
  • Factor VI
  • Factor V
  • Factor IX
  • Factor X

Frage 10

Frage
Activated Partial Thromboplastin Time (APTT) tests for the presence of which two clotting factors?
Antworten
  • Factor V
  • Factor VI
  • Factor VII
  • Factor VIII
  • Factor IX
  • Factor X

Frage 11

Frage
The enzyme prothrombinase comprises which two coagulation factors?
Antworten
  • Factor Va
  • Factor VIa
  • Factor VIIa
  • Factor VIIIa
  • Factor IXa
  • Factor Xa

Frage 12

Frage
D-dimers are the main degradation product of which of the following structures?
Antworten
  • Fibrin
  • Plasmin
  • Thrombin
  • Factor VIII
  • Factor V

Frage 13

Frage
[blank_start]Hypovolaemic[blank_end] shock is one of the common causes of Disseminated Intravascular Coagulation
Antworten
  • Hypovolaemic

Frage 14

Frage
What inheritance pattern does haemophilia (both A and B) typically follow?
Antworten
  • X-linked recessive
  • Autosomal dominant
  • Autosomal recessive

Frage 15

Frage
Which type of Haemophilia is most common?
Antworten
  • Haemophilia A (Factor VIII deficiency)
  • Haemophilia B (Factor IX deficiency)

Frage 16

Frage
Which two joints are typically affected by bleeds in haemophilia patients, leading to haemarthrosis?
Antworten
  • Knee
  • Elbow
  • Ankle
  • Wrist
  • Acromioclavicular
  • Hip

Frage 17

Frage
Haemophilia affects ...
Antworten
  • Secondary Haemostasis only
  • Primary Haemostasis only
  • Both Primary and Secondary Haemostasis

Frage 18

Frage
Venous thrombosis is a low pressure system whereby only the [blank_start]secondary[blank_end] haemostatic system is activated, leading to a rich [blank_start]fibrin[blank_end] clot.
Antworten
  • secondary
  • primary
  • fibrin
  • platelet

Frage 19

Frage
Virchow's Triad:
Antworten
  • Blood flow stasis
  • Endothelial injury/dysfunction
  • Hypercoagulability
  • Hypertension
  • High MCV
  • Hypocoagulability
  • Hypercholesterolaemia

Frage 20

Frage
Pulmonary embolism usually presents in a patient as a specific type of chest pain, described as [blank_start]pleuritic[blank_end] chest pain
Antworten
  • pleuritic

Frage 21

Frage
Thrombophilia is a known risk factor for deep vein thrombosis
Antworten
  • True
  • False

Frage 22

Frage
Oestrogen therapy increases the risk of an individual suffering a DVT
Antworten
  • True
  • False

Frage 23

Frage
Which clotting factor does Von WIllebrand Factor bind to in the blood, thus preventing its degradation?
Antworten
  • Factor V
  • Factor VI
  • Factor VII
  • Factor VIII
  • Factor IX
  • Factor X

Frage 24

Frage
Define Thrombophilia: [blank_start]Increased tendency to develop clots[blank_end]
Antworten
  • An Increased tendency to develop clots
  • A deficiency of clotting factors
  • A deficiency of factors II, VII, IX & X

Frage 25

Frage
Thrombophilia screening should be considered for a patient who has experienced a DVT below the age of [blank_start]45[blank_end]
Antworten
  • 45
  • 55
  • 65

Frage 26

Frage
Warfarin is an antagonist of [blank_start]Vitamin K[blank_end]
Antworten
  • Vitamin K

Frage 27

Frage
Thus, Warfarin treatment obstructs the action of which four of the following clotting factors?
Antworten
  • Factor I
  • Factor II
  • Factor III
  • Factor IV
  • Factor V
  • Factor VI
  • Factor VII
  • Factor VIII
  • Factor IX
  • Factor X

Frage 28

Frage
Long term coagulation, whilst reducing the risk of thrombosis also in turn reduces the risk of a serious haemorrhage occurring
Antworten
  • True
  • False

Frage 29

Frage
A 37 year old woman presents to her GP after her 3rd miscarriage in the past 4 years. She is desperate for help and doesn't think she can go through the emotional stress of another miscarried pregnancy. Her only past medical history of note is asthma and two previous Deep Vein Thromboses. What condition is the woman likely suffering from? [blank_start]Antiphospholipid Syndrome[blank_end]
Antworten
  • Antiphospholipid Syndrome

Frage 30

Frage
Which of the following autoantibodies is a strong indicator of antiphospholipid syndrome?
Antworten
  • Lupus anticoagulant
  • Anti-nuclear antibody
  • Anti-dsDNA
  • Anti-centromere antibody
  • Anti-neutrophil cytoplasmic antibody
  • Anti-CCP

Frage 31

Frage
Which of the following treatment regimes would be suitable for a patient with antiphospholipid syndrome?
Antworten
  • Aspirin + Warfarin
  • Aspirin only
  • Warfarin only

Frage 32

Frage
[blank_start]Tranexamic[blank_end] acid is a medication used to treat or prevent excessive blood loss in cases of major trauma.
Antworten
  • Tranexamic
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