Test 1 Flashcards

0
Q

Tissue factor that is a cofactor

A

Factor VIII

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1
Q

Normal fibrin split product value

A

<10ug/dL

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2
Q

What initiates the coagulation cascade in vivo?

A

Tissue factor

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3
Q

In vitro, which zymogen is activated after collagen is exposed to blood?

A

Factor XII, Hageman Factor, Antihemophilic factpr D

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4
Q

Insufficient vWF most likely causes?

A

Insufficient clot adhesion

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5
Q

If a drug prolongs the TT and PT tests, which pathway is not affected?

A

Intrinsic pathway

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6
Q

First step of hemostasis process when an arterial vessel is damaged?

A

Vascular constriction

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7
Q

Natural anticoagulation affect of ADPase?

A

Limits ability to recruit more platelets

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8
Q

vWF is produced by?

A

Endothelial cells

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9
Q

Which of the following platelet surface receptors initially binds von Willebrand’s Factor to enhance platelet adhesion?

A

GP1b

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10
Q

Which of the following autologous anticoagulants involved in coagulation Termination is inactivated by Factor lla as part of a negative feedback?

A

Protein C

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11
Q

Which anticlotting substance works on Factors 5 and 8?

A

Protein C

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12
Q

4 serine processes inhibited by ATIII?

A

Activated Stuart factor
Antihemophilic factor B
Antihemophilic factor C
Antihemophilic factor D

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13
Q

Feasible therapy for ATIII deficiency

A

Transfusion of FFP
Administration of Atryn
Administration of Thrombate

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14
Q

What percent of patients with current DVT secondary to HIT Type II develop further thrombosis?

A

50%

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15
Q

DOC for HIT Type II

A

Argatroban

16
Q

Which method of determining Protamine dose is most affected by Heparins half life?

A

Fixed dose

17
Q

Advantage of using protamine titration method

A

Absence of heparin rebound

18
Q

Which class of antibody mediates true Protamine anaphylactic reactions?

19
Q

What is a high CVP on bypass associated with?

A

Impaired venous drainage

20
Q

Ideal rate of UO on bypass?

A

0.5-1 ml/kg/hr

21
Q

What causes an acute hemolytic reaction?

A

ABO incompatibility

22
Q

Why is too much citrate dangerous?

A

It depletes K and Mg stores

23
Q

RAP can remove how much prime?

24
Deep hypothermic circulatory arrest (DHCA) would be utilized if your patient was cooled to which of the following temperatures (as given in the lecture
23C
25
Profound hypothermic circulatory arrest (PHCA) would be utilized if your patient was cooled to which of the following temperatures (as given in the lecture slides)?
16C
26
At what temperature will the brain lose autoregulation of blood flow no matter what hypothermic acid-base strategy is being used?
20C
27
Which of the following are you practicing if the patient’s temperature is 28o C and you keep the temperature corrected pCO2 at 28 mmHg?
Alpha stat
28
Min flow for Terumo RX25 oxygenator?
0.5LPM
29
What is the maximum flow for the cardiotomy filter in the RX25 Oxygenator with hardshell reservoir that should NOT be exceeded?_______________________ (in Liters per minute only)
5LPM
30
What is the maximum gas flow rate that should not be exceeded for the Terumo RX25 oxygenator?___________________ (in liters per minute)
20LPM
31
What is the maximum recommended volume that should not be exceeded with the Terumo RX25 oxygenator with an intergral hardshell reservoir?
4L