Bleeding Disorders & Venous Thrombosis

Description

Tuesday's 2 lectures in one quiz.
Matthew Coulson
Quiz by Matthew Coulson, updated more than 1 year ago
Matthew Coulson
Created by Matthew Coulson over 5 years ago
19
1

Resource summary

Question 1

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

Question 2

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

Question 3

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

Question 4

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

Question 5

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

Question 6

Question
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
Answer
  • Vitamin K

Question 7

Question
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]
Answer
  • Disseminated Intravascular Coagulation

Question 8

Question
How should DIC be treated in acute care?
Answer
  • 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

Question 9

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

Question 10

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

Question 11

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

Question 12

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

Question 13

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

Question 14

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

Question 15

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

Question 16

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

Question 17

Question
Haemophilia affects ...
Answer
  • Secondary Haemostasis only
  • Primary Haemostasis only
  • Both Primary and Secondary Haemostasis

Question 18

Question
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.
Answer
  • secondary
  • primary
  • fibrin
  • platelet

Question 19

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

Question 20

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

Question 21

Question
Thrombophilia is a known risk factor for deep vein thrombosis
Answer
  • True
  • False

Question 22

Question
Oestrogen therapy increases the risk of an individual suffering a DVT
Answer
  • True
  • False

Question 23

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

Question 24

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

Question 25

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

Question 26

Question
Warfarin is an antagonist of [blank_start]Vitamin K[blank_end]
Answer
  • Vitamin K

Question 27

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

Question 28

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

Question 29

Question
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]
Answer
  • Antiphospholipid Syndrome

Question 30

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

Question 31

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

Question 32

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