USMLE rx II Flashcards

1
Q

aminocaproic acid

A

used to reverse the effects of tPA tissue plasminogen activator

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2
Q

when administrating heparin what three tests do you need to monitor

A
  1. platelet (to monitor for HIT) 2. aTTP 3. PFA 100
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3
Q

von willebrands

A
  • FVIII and adhesion of platelets to collagen via glycoproteins - slightly increased or normal aPTT
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4
Q

protein C inactivates _____ and ____ factors

A

V and VIII

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5
Q

deficiency in protein C would lead to

A

coagualtion thrombosis

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6
Q

a symptom of transfusion error can be hypocalcemia … which test would let you know if this was the transfusion problem and what symptoms would be present

A
  • fatigue, irritability, muscle pain, tingling sensation around the mouth - chvostek test- tapping the facial nerve just close to the ear causes intense pain
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7
Q

the most common inherited form of thrombophilia that could cause DVT

A

factor V leiden mutation meaning the coagulation cascade is not inhibited and clot formation occurs more readily

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8
Q

babies have to receive vitmain K right when they are born to prevent

A

vitamin K deficiency

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9
Q

vitamin K deficiency in newborns causes what tests to prolong

A

PT and aPTT

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10
Q

vitamin K deficiency causes what symptoms

A

increases risks of hemorrhage GI, umbilical, etc

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11
Q
A

c- vitain K deficiency

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12
Q

patients with HIT should eb started on

A

agratroban a direct inhibitor of thrombin

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13
Q

DVT and decreasing the likilhood of a recurrence

A

QUIT SMOKING

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14
Q

acute graft rejection is a potential side effect of solid organ transplant and is mediated by recipients cytotxic t - cells. In comparsion what occurs with bone marrow transplant?

A

alloreactive donor T lymphocytes

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15
Q

vitamin K deficiency can be due to what antibiotic?

A

ceftriaxone /cephlasporin and can cause prolonged PT and PTT

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16
Q

vitamin K helps with carboxylation of ____ residues

A

glutamic acid

17
Q

aspirin is mainly used to prevent

A

micardial infarction

18
Q

protamine sulfate

A

used in emergency situations to reverse heparin

19
Q

unfractioned heparin is used for

A

acute anticoagulation

20
Q

streptokinase is a

A

thrombolytic used to break down existing clots