Thromboembolic Disorders Flashcards

1
Q

leading cause of maternal mortality

A

deep venous thrombosis

pulmonary embolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

the most constant predisposing factor for venous thrombosis

A

stasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

coagulation factors increased in pregnancy

A

fibrinogen
factor VII
factor VIII
von willebrand

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

the most important risk factor in developing thromboembolism

A

genetically determined thrombophilia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

thrombin (IIa) acts in what coagulation cascade pathway?

A

intrinsic pathway

common pathway

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

the most thrombogenic of the heritable thrombophilia

A

antithrombin deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

antithrombin deficiency type that results in reduced synthesis of biologically normal antithrombin

A

type I deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

antithrombin deficiency type that is characterized by normal levels of antithrombin with reduced functional activity

A

type II deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

lethal antithrombin deficiency

A

homozygous antithrombin deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

treatment function of antithrombin

A

target towards the COMMON PATHWAY

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

treatment for antithrombin

A

low molecular weight heparin (LMWH)

recombinant human antithrombin concentration infusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

helps inactivates procoagulant Va and VIIa

A

protein S

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

vitamin K dependent glycoprotein that increases throughout the fist half of pregnancy

A

protein C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

anticoagulant and inflammatory regulatory pathways

A

protein C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

inhibits the synthesis of of PAI

A

activated protein c

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

activated protein c

A

thrombin + thrombomodulin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

extensive thromboses in the micronutrition soon after birth leading to skin necrosis

A

purpura fulminans

18
Q

activated protein c resistance aka

A

factor leiden mutation

19
Q

most common heritable thrombophilia

A

heterozygous inheritance for factor V leiden

20
Q

mutation in factor v gene; substitution of _________ for aginine at position 506

21
Q

second most inherited thrombophilia

A

prothrombin G20210A mutation (PGM)

22
Q

mutation in prothrombin = excessive prothrombin accumulation

23
Q

mutation of enzyme 5,10-methylene-tetrahydrofolate reductase

A

hyperhomocysteinemia

24
Q

deficiencies of folic acid, vitamin b6, vitamin b12

A

hyperhomocysteinemia

25
fasting threshold to define hyperhomocysteinemia
>12umol/L
26
most common acquired thrombophilia
antiphospholipid antibody syndrome
27
antibodies against phospholipid-binding proteins such as B2-glycoprotein I
antiphospholipid antibody syndrome
28
APAS clinical feature; vascular thromboses
* one unexplained fetal death at or beyond 10 weeks * one preterm before 34 weeks because of eclampsia, severe preeclampsia, placental insufficiency * unexplained consecutive spontaneous abortion before 10 weeks
29
most commonly involve in APAS
lower extremity
30
when other veins are involved in APAS
catastrophic APAS
31
thrombophilia screening is indicated for persons:
with history of venous thromboembolism first degree relative before 50 experienced fetal loss
32
most common venous thromboses that are confined to the deep veins of the lower extremity
DVT
33
most commonly affected vein in DVT
iliofemoral vein
34
homans sign
DVT
35
initial diagnostic test of DVT
compression ultrasonography
36
diagnosis for DVT is based on
based on: the compressibility typical echoarchitecture of a thrombosed vein
37
useful diagnosis for DVT
MRI
38
gold standard to exclude lower extremity DVT
venography
39
initial treatment for thromboembolism
unfractionated heparin
40
preferred test to assess heparin anticoagulation
anti-factor Xa levels
41
greater activity against factor Xa than thrombin
LMWH