Bleeding Disorders & Venous Thrombosis

Descripción

Tuesday's 2 lectures in one quiz.
Matthew Coulson
Test por Matthew Coulson, actualizado hace más de 1 año
Matthew Coulson
Creado por Matthew Coulson hace alrededor de 5 años
18
1

Resumen del Recurso

Pregunta 1

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

Pregunta 2

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

Pregunta 3

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

Pregunta 4

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

Pregunta 5

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

Pregunta 6

Pregunta
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
Respuesta
  • Vitamin K

Pregunta 7

Pregunta
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]
Respuesta
  • Disseminated Intravascular Coagulation

Pregunta 8

Pregunta
How should DIC be treated in acute care?
Respuesta
  • 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

Pregunta 9

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

Pregunta 10

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

Pregunta 11

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

Pregunta 12

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

Pregunta 13

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

Pregunta 14

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

Pregunta 15

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

Pregunta 16

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

Pregunta 17

Pregunta
Haemophilia affects ...
Respuesta
  • Secondary Haemostasis only
  • Primary Haemostasis only
  • Both Primary and Secondary Haemostasis

Pregunta 18

Pregunta
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.
Respuesta
  • secondary
  • primary
  • fibrin
  • platelet

Pregunta 19

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

Pregunta 20

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

Pregunta 21

Pregunta
Thrombophilia is a known risk factor for deep vein thrombosis
Respuesta
  • True
  • False

Pregunta 22

Pregunta
Oestrogen therapy increases the risk of an individual suffering a DVT
Respuesta
  • True
  • False

Pregunta 23

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

Pregunta 24

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

Pregunta 25

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

Pregunta 26

Pregunta
Warfarin is an antagonist of [blank_start]Vitamin K[blank_end]
Respuesta
  • Vitamin K

Pregunta 27

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

Pregunta 28

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

Pregunta 29

Pregunta
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]
Respuesta
  • Antiphospholipid Syndrome

Pregunta 30

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

Pregunta 31

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

Pregunta 32

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