Act 1&4

Question 1

_____: non specific test; it is the time it takes for a standard wound to stop bleeding
dependent on:
1. # of platelets present during vascular injury or any bleeding
2. integrity of blood vessels
3. presence of coagulation factors from Factor I-XIII

BLEEDING TIME

Answer 1

dependent on:
1. Platelet plug formation
2. Vasoconstriction
3. Coagulation

Question 2

BT: IVY METHOD
1. site
- depth = ____ (deep) & ____ (long)
2. inflate up to ___
3. RV
BT: DUKE METHOD:
1. site
2. depth
3. RV

Answer 2

IVY METHOD:
1. forearm
- 2mm deep & 2mm long
2. 40mmHg
3. 1-7mins
DUKE METHOD:
1. earlobe
2. 3mm
3. 2-4mins

Question 3

Clinsig of BT
1. platelet reduction (3)
2. platelet deficiency (2)
3. injury capillary wall (3)

Answer 3

Clinsig of BT
1. platelet reduction
- Thrombocytopenic purpura
- Acute leukemia
- Aplastic anemia
2. platelet deficiency (2)
- Disease of the liver
- Hemolytic disease of newborn
3. injury capillary wall (3)
- Scurvy (defects w/ VitC)
- Toxin
- Allergy

Question 4

Other Tests for BT
1. punctured finger is immersed in a beaker of NSS pre warmed at 37C waterbath.
2. almost the same procedure w/ Copley-Lalitch
3. overdosage of aspirin prolongs bleeding time
- aka
- for ___ days
- before and after taking 2 tablets, ___ method will be performed

Answer 4

1. Copley-Lalitch Immersion Test
2. Adelson-Crossby Immersion Test
3. Aspirin Tolerance Test
   - Quick’s Test
   - 3 days
   - Duke Method

Question 5

CFT: Tourniquet Test

RUMPEL-LEEDE TEST
1. apply ____ pressure
2. maintain for ___
3. results
4. RV
5. possible clinsig: (3)

QUICK’s METHOD
1. apply ___ pressure
2. RV

GOTHLIN’s METHOD
1. both arms and apply ____ pressure
2. multiply the number of petechiae in both arms by __
3. RV

Answer 5

RUMPEL-LEEDE TEST
1. 100mmHg
2. 5mins
3. results:
- +1 = few anterior of arm
- +2 = many anterior of arm
- +3 = multiple whole arm and back of the hand
- +4 = confluent whole arm and back of the hand
2. 0-1+
3. thrombocytopenia, senile purpura, vascular purpura

QUICK’s METHOD
1. 100mmHg
2. 0-5 petechiae within circular radius of 5cm

GOTHLIN’s METHOD
1. 35mmHg
2. 2
3. 0-8 petechiae

Question 6

CFT: Hess/ Suction Test
1. aka
2. apply ____ pressure
3. RV
4. ___ = test must be repeated

Answer 6

1. Petiochiometer Method
2. 200mmHg
3. 0-2
4. 4-8

Question 7

1. tiny pinpoint red or purple dots; hemorrhages seen in the skin
   - diameter
2. red or purple patches; lesions of skin caused by RBCs that seeped out of blood vessels
   - diameter
3. flat and purplish; usually seen after trauma and injury
   - diameter
4. collection of blood outside the blood vessels

Answer 7

1. Petechiae
   - <3mm
2. Purpura
   - >3mm
3. Ecchymosis
   - >1cm
4. Hematoma

Question 8

BLEEDING DISORDERS
1. due to(4)

Laboratory Findings in Vascular Defects:
1. normal in
2. platelet count (2)

Answer 8

BLEEDING DISORDERS
1. Vascular defects
2. Platelet defects
3. Coagulation factor defects
4. Presence of circulating anticoagulants

Laboratory Findings in Vascular Defects:
1. ALL
2. prolonged bleeding time; positive tourniquet test