Hematology- Inhibitors, Thrombotic Disorders, and Anticoagulant Drugs Flashcards
1
Q
- Which characteristic describes antithrombin (AT)?
A. It is synthesized in megakaryocytes
B. It is activated by protein C
C. It is a cofactor of heparin
D. It is a pathological inhibitor of coagulation
A
C. It is a cofactor of heparin
2
Q
- Which laboratory test is affected by heparin
therapy?
A. Thrombin time
B. Fibrinogen assay
C. Protein C assay
D. Protein S assay
A
A. Thrombin time
3
Q
- An abnormal APTT caused by a pathological
circulating anticoagulant is:
A. Corrected with factor VIII–deficient plasma
B. Corrected with factor IX–deficient plasma
C. Corrected with normal plasma
D. Not corrected with normal plasma
A
D. Not corrected with normal plasma
4
Q
- The lupus anticoagulant affects which of the
following tests?
A. Factor VIII assay
B. Factor IX assay
C. VWF assay
D. Phospholipid-dependent assays
A
D. Phospholipid-dependent assays
5
Q
- Which statement about Coumadin (warfarin) is
accurate?
A. It is a vitamin B antagonist
B. It is not recommended for pregnant and
lactating women
C. It needs antithrombin as a cofactor
D. APTT test is used to monitor its dosage
A
B. It is not recommended for pregnant and
lactating women
6
Q
- Which statement regarding protein C is correct?
A. It is a vitamin K–independent zymogen
B. It is activated by fibrinogen
C. It activates cofactors V and VIII
D. Its activity is enhanced by protein S
A
D. Its activity is enhanced by protein S
7
Q
- Which of the following is an appropriate screening
test for the diagnosis of lupus anticoagulant?
A. Thrombin time test
B. Diluted Russell’s viper venom test (DRVVT)
C. D-dimer test
D. FDP test
A
B. Diluted Russell’s viper venom test (DRVVT)
8
Q
- Which of the following is most commonly
associated with activated protein C resistance
(APCR)?
A. Bleeding
B. Thrombosis
C. Epistaxis
D. Menorrhagia
A
B. Thrombosis
9
Q
- A 50-year-old man has been on heparin for the
past 7 days. Which combination of the tests is
expected to be abnormal?
A. PT and APTT only
B. APTT, TT only
C. APTT, TT, fibrinogen assay
D. PT, APTT, TT
A
D. PT, APTT, TT
10
Q
- Which of the following drugs inhibits ADP
mediated platelet aggregation?
A. Heparin
B. Warfarin
C. Aspirin
D. Prasugrel
A
D. Prasugrel
11
Q
- Thrombin-thrombomodulin complex is necessary
for activation of:
A. Protein C
B. Antithrombin
C. Protein S
D. Factors V and VIII
A
A. Protein C
12
Q
- What test is used to monitor heparin therapy?
A. INR
B. APTT
C. TT
D. PT
A
B. APTT
13
Q
- What test is commonly used to monitor warfarin
therapy?
A. INR
B. APTT
C. TT
D. Ecarin time
A
A. INR
14
Q
- What clotting factors (cofactors) are inhibited by
protein S?
A. V and X
B. Va and VIIIa
C. VIII and IX
D. VIII and X
A
B. Va and VIIIa
15
Q
- Which drug promotes fibrinolysis?
A. Warfarin
B. Heparin
C. Urokinase
D. Aspirin
A
C. Urokinase
16
Q
- Diagnosis of lupus anticoagulant is confirmed by
which of the following criteria?
A. Decreased APTT
B. Correction of the APPT by mixing studies
C. Neutralization of the antibody by high
concentration of platelets
D. Confirmation that abnormal coagulation tests are
time and temperature dependent
A
C. Neutralization of the antibody by high
concentration of platelets
17
Q
- Which of the following abnormalities is consistent
with the presence of lupus anticoagulant?
A. Decreased APTT/bleeding complications
B. Prolonged APTT/thrombosis
C. Prolonged APTT/thrombocytosis
D. Thrombocytosis/thrombosis
A
B. Prolonged APTT/thrombosis