5: Coagulation Flashcards

1
Q

_____ adhere to vessel wall when damage occurs to begin the clotting process.

A

Platelets adhere to vessel wall when damage occurs to begin the clotting process.

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2
Q

What forms platelets?

A

Megakaryocytes in the bone marrow.

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3
Q

PT measures which factors?

A
  • 1
  • 2
  • 5
  • 7
  • 10
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4
Q

If a patient on heparin has lupus anticoagulant, what is used to monitor heparin therapy?

A

Factor 10 A levels

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5
Q

PTT measures which factors?

A
  • 1
  • 2
  • 5
  • 8
  • 9
  • 10
  • 11
  • 12
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6
Q

T/F Heparin contamination from lines can give falsely elevated PTT.

A

True

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7
Q

This is used to monitor heparin therapy.

A

PTT

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8
Q

PT/INR is most sensitive to what clotting factors?

A

PT: Vitamin K-dependent clotting factors:

  • 2
  • 7
  • 9
  • 10

INR: Hereditary factor deficiencies:

  • 1
  • 5
  • 7
  • 10
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9
Q

_____ represent fibrin degradation of a blood clot after fibrinolysis.

A

D-dimer represent fibrin degradation of a blood clot after fibrinolysis.

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10
Q

T/F During primary hemostatis, platelets move from aggregation to adhesion to coagulation.

A

False. They move from adhesion to aggregation to coagulation.

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11
Q

This is used to monitor coumadin therapy.

A

PT/INR

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12
Q

Where is fibrinogen synthesized?

A

Liver

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13
Q

PT/INR evaluates _____ and _____ pathway.

A

PT/INR evaluates extrinsic and common pathway.

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14
Q

PTT evaluates _____ and _____ pathway.

A

PTT evaluates intrinsic and common pathway.

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15
Q

Fibrinogen is involved in clot formation during what stage?

A

Secondary hemostasis

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16
Q

_____ now replaces the PT for better standardization in thromboplastin reagents worldwide.

A

International normalized ratio (INR) now replaces the PT for better standardization in thromboplastin reagents worldwide.

17
Q

T/F D-dimer is a test that has a high specificity and low sensitivity.

A

False. It has a high sensitivity and low specificity. In other words, it’s easy to detect, but hard to determine the cause of it being there. So a negative test would rule things out but a positive test would not confirm a diagnosis.

18
Q

T/F Fibrinogen is acute phase reactant.

A

True