Question 1
Question
The Extrinsic Pathway operates on the initiating cell
Question 2
Question
What is the role of the Extrinsic Pathway?
Question 3
Question
The Intrinsic Pathway works on...
Answer
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The endothelium
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The vW factor
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The platelet surface
Question 4
Question
The Intrinsic pathway is designed to generate thrombin bursts
Question 5
Question
Name the three steps of Coagulation
Answer
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Initiation
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Amplification
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Propagation
Question 6
Question
What begins the Initiation phase?
Answer
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Vascular injury initiates trigger factor
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Vascular injury exposes collagen for platelets to bind
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Vascular injury causes blood cells to lyse
Question 7
Question
Trigger factor activates VII, which activates smal amounts of
Question 8
Question
X & XI bind to platelets and produce small amounts of Thrombulin
Question 9
Question
Thrombin initiates Amplification
Question 10
Question
The platelets act as a surface for the assembly of what factor complexes?
Answer
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IX & VIII
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Prethrombinase (X & V)
Question 11
Question
What happens in Propogation
Answer
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Activated platelets/complexes generate Thrombin Burst
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Activated platelets/complexes generate Thrombulin Burst
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Activated platelets/complexes generate Thromblin Burst
Question 12
Question
What two things are required for Fibrin Clot formation?
Answer
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Fibrinogen --> Fibrin
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F IIa
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F III
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F V
Question 13
Question
Thrombin production is the crucial step in haemostasis
Question 14
Question
The first step in Coagulation Disorder diagnosis is a family & drug history
Question 15
Question
Name the two main clinical presentation of coagulation disorders
Answer
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Bleeding in deep tissues
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Bleeding in joints
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Flushed skin
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Easy cutting of skin
Question 16
Question
Prethrombin Time is anassessment of the _ Pathway
Question 17
Question
Prethrombin time is expressed as an international, normalised ratio
Question 18
Question
Activated Partial Thromboplastin Time is an indicator of...
Answer
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Intrinsic pathway
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Extrinsic pathway
Question 19
Question
Which of the following are not Coagulation Disorder investigations?
Answer
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Fibrinogen Assay
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FXIII Screen
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Thrombin Clotting Time
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Fibin Clotting Time
Question 20
Question
How do you evaluate increased prethrombin time?
Question 21
Question
How do you evaluate Activated Partial Thromboplastin Time (APPT)?
Question 22
Question
Lack o Factor X causes no symptoms
Question 23
Question
Factor I assay is used if bot PT and APTT is elevated
Question 24
Question
If both PT and APTT is normal, what is tested for?
Question 25
Question
Aquired Coagulation Deficiencies are caused by a lack of what?
Question 26
Question
What can cause Aquired Vit K deficiency?
Question 27
Question
Vit-K deficiency can be drug induced i.e. in the case of liver disease
Question 28
Question
Haemophilia A is caused by what?
Answer
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Factor VIII deficiency
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Factor VI deficiency
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Factor V deficiency
Question 29
Question
Haemophilia A is sex linked
Question 30
Question
Haemophilia B is a Factor IX deficiency
Question 31
Question
The mutations for Haemophilia A & B are found on which chromosome?
Question 32
Question
How do you identify Haemophilia B?
Answer
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Inc PT
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Inc APTT
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Factor IX assay
Question 33
Question
Von Willebrands disease is caused by a lack of factor
Question 34
Question
vW disease is detected by
Question 35
Question
Since many things can effect the levels of vWF, testing is difficult
Question 36
Question
vW disease can be qualitative or quantitative