Bleeding Disorders & Venous Thrombosis

Descrição

Tuesday's 2 lectures in one quiz.
Matthew Coulson
Quiz por Matthew Coulson, atualizado more than 1 year ago
Matthew Coulson
Criado por Matthew Coulson quase 6 anos atrás
19
1

Resumo de Recurso

Questão 1

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

Questão 2

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

Questão 3

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

Questão 4

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

Questão 5

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

Questão 6

Questão
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
Responda
  • Vitamin K

Questão 7

Questão
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]
Responda
  • Disseminated Intravascular Coagulation

Questão 8

Questão
How should DIC be treated in acute care?
Responda
  • 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

Questão 9

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

Questão 10

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

Questão 11

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

Questão 12

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

Questão 13

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

Questão 14

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

Questão 15

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

Questão 16

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

Questão 17

Questão
Haemophilia affects ...
Responda
  • Secondary Haemostasis only
  • Primary Haemostasis only
  • Both Primary and Secondary Haemostasis

Questão 18

Questão
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.
Responda
  • secondary
  • primary
  • fibrin
  • platelet

Questão 19

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

Questão 20

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

Questão 21

Questão
Thrombophilia is a known risk factor for deep vein thrombosis
Responda
  • True
  • False

Questão 22

Questão
Oestrogen therapy increases the risk of an individual suffering a DVT
Responda
  • True
  • False

Questão 23

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

Questão 24

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

Questão 25

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

Questão 26

Questão
Warfarin is an antagonist of [blank_start]Vitamin K[blank_end]
Responda
  • Vitamin K

Questão 27

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

Questão 28

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

Questão 29

Questão
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]
Responda
  • Antiphospholipid Syndrome

Questão 30

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

Questão 31

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

Questão 32

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

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