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]
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]
Pregunta 5
Pregunta
Vitamin K requires the presence of [blank_start]Bile[blank_end] salts in order to be successfully absorbed in the intestines.
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
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]
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
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?
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 ...
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:
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
Pregunta 21
Pregunta
Thrombophilia is a known risk factor for deep vein thrombosis
Pregunta 22
Pregunta
Oestrogen therapy increases the risk of an individual suffering a DVT
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]
Pregunta 26
Pregunta
Warfarin is an antagonist of [blank_start]Vitamin K[blank_end]
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
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]
Pregunta 30
Pregunta
Which of the following autoantibodies is a strong indicator of antiphospholipid syndrome?
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.