COAGULATIONSYSTEMDISORDER Flashcards

1
Q
1. The APTT is sensitive to a deficiency of which clotting factor?
A. Factor VII
B. Factor X
C. PF3
D. Calcium
A

B

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2
Q
2. Which test result would be normal in a patient with dysfibrinogenemia?
A. Thrombin time
B. APTT
C. PT
D. Immunologic fibrinogen level
A

d

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3
Q
3. A patient with a prolonged PT is given intravenous vitamin K. The PT corrects to normal after  24 hours. What clinical condition most likely caused these results?
A. Necrotic liver disease
B. Factor X deficiency
C. Fibrinogen deficiency
D. Obstructive jaundice
A

d

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4
Q
4. Which factor deficiency is associated with a prolonged PT and APTT?
A. X
B. VIII
C. IX
D. XI
A

a

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5
Q
  1. A prolonged APTT is corrected with factor
    VIII– deficient plasma but not with factor
    IX–deficient plasma. Which factor is deficient?
    A. V
    B. VIII
    C. IX
    D. X
A

c

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6
Q
6. Which of the following is a characteristic of classic hemophilia A?
A. Prolonged bleeding time
B. Autosomal recessive inheritance
C. Mild to severe bleeding episodes
D. Prolonged PT
A

c

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7
Q
7. Refer to the following results:
PT = prolonged
APTT = prolonged
Platelet count = decreased
Which disorder may be indicated?
A. Factor VIII deficiency
B. von Willebrand’s disease
C. DIC
D. Factor IX deficiency
A

c

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8
Q
  1. Which of the following is a predisposing condition for the development of DIC?
    A. Adenocarcinoma
    B. Idiopathic thrombocytopenic purpura (ITP)
    C. Post-transfusion purpura (PTP)
    D. Heparin-induced thrombocytopenia (HIT)
A

a

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9
Q
9. Factor XII deficiency is associated with:
A. Bleeding episodes
B. Epistaxis
C. Decreased risk of thrombosis
D. Increased risk of thrombosis
A

d

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10
Q
10. The following results were obtained on a patient: normal platelet count and function, normal PT, and prolonged APTT. Which of the following disorders is most consistent with these results?
A. Hemophilia A
B. Bernard–Soulier syndrome
C. von Willebrand’s disease
D. Glanzmann’s thrombasthenia
A

a

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11
Q
11. The following laboratory results were obtained from a 40-year-old woman: PT = 20 sec; APTT =50 sec; thrombin time = 18 sec. What is the most probable diagnosis?
A. Factor VII deficiency
B. Factor VIII deficiency
C. Factor X deficiency
D. Hypofibrinogenemia
A

D

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12
Q
  1. When performing a factor VIII activity assay, a patient’s plasma is mixed with:
    A. Normal patient’s plasma
    B. Factor VIII deficient plasma
    C. Plasma with a high concentration of factor VIII
    D. Normal control plasma
A

b

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13
Q
13. The most suitable product for treatment of factor VIII deficiency is:
A. Fresh frozen plasma
B. Factor VIII concentrate
C. Prothrombin complex concentrate
D. Factor V Leiden
A

b

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14
Q
14. Which of the following is associated with an abnormal platelet aggregation test?
A. Factor VIII deficiency
B. Factor VIII inhibitor
C. Lupus anticoagulant
D. Afibrinogenemia
A

d

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15
Q
15. Refer to the following results:
PT = normal
APTT = prolonged
Bleeding time= increased
Platelet count = normal
Platelet aggregation to ristocetin = abnormal
Which of the following disorders may be
indicated?
A. Factor VIII deficiency
B. DIC
C. von Willebrand’s disease
D. Factor IX deficiency
A

C

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16
Q
16. Which results are associated with hemophilia A?
A. Prolonged APTT, normal PT
B. Prolonged PT and APTT
C. Prolonged PT, normal APTT
D. Normal PT and APTT
A

A

17
Q
17. Fibrin monomers are increased in which of the following conditions?
A. Primary fibrinolysis
B. DIC
C. Factor VIII deficiency
D. Fibrinogen deficiency
A

B

18
Q
18. Which of the following is associated with multiple factor deficiencies?
A. An inherited disorder of coagulation
B. Severe liver disease
C. Dysfibrinogenemia
D. Lupus anticoagulant
A

B

19
Q
19. Normal PT and APTT results in a patient with a poor wound healing may be associated with:
A. Factor VII deficiency
B. Factor VIII deficiency
C. Factor XII deficiency
D. Factor XIII deficiency
A

D

20
Q
20. Fletcher factor (prekallikrein) deficiency may be associated with:
A. Bleeding
B. Thrombosis
C. Thrombocytopenia
D. Thrombocytosis
A

B

21
Q
21. One of the complications associated with a severe hemophilia A is:
A. Hemarthrosis
B. Mucous membrane bleeding
C. Mild bleeding during surgery
D. Immune-mediated thrombocytopenia
A

A

22
Q
22. The most common subtype of classic von
Willebrand’s disease is:
A. Type 1
B. Type 2A
C. Type 2B
D. Type 3
A

A

23
Q
23. A prolonged APTT and PT are corrected when mixed with normal plasma. Which factor is most likely deficient?
A. VIII
B. V
C. XI
D. IX
A

B