OME - Day 11

Question 1

A mixing study fails to correct the bleeding problem, next step?

Answer 1

Factor inhibitors

Question 2

Young child that easily bruises with hemarthrosis - diagnosis and next step?

Answer 2

Hemophilia A (8) or B (9), give FFP or factors during bleed

Question 3

How do you treat von Willebrand disease?

Answer 3

Desmopressin

Question 4

Long stay in the ICU, INR is up, platelets and hemoglobin is normal, diagnosis?

Answer 4

Vit K deficiency

Question 5

Patient has intracranial hemorrhage, the INR is elevated, what is the next step?

Answer 5

Give FFP

Question 6

Platelet bleeding normal count, diagnosis?

Answer 6

von Willebrand Disease

Question 7

Acute flare of ITP?

Answer 7

IVIg

Question 8

Fever, anemia, thrombocytopenia, renal failure, focal deficits, diagnosis?

Answer 8

FATRN, TTP

Question 9

Fibrinogen down, INR up, platelets down, hemoglobin down, diagnosis?

Answer 9

DIC

Question 10

If the fibrinogen is down, you give what?

Answer 10

Cryoprecipitate

Question 11

If you have low platelets, you give what?

Answer 11

Platelets

Question 12

Long term, last resort therapy for ITP?

Answer 12

Splenectomy

Question 13

Smear on DIC shows what?

Answer 13

Schistocytes

Question 14

Smear on TTP shows what?

Answer 14

Schistocytes

Question 15

If splenectomy doesn’t work for ITP, what drug can you try?

Answer 15

Rituximab

Question 16

What is the treatment for HIT?

Answer 16

Argatroban then Coumadin

Question 17

What is the treatment for TTP?

Answer 17

Plasma Exchange