Ch 14 - Review Questions
True/False FFP, packed RBCs, platelets, or cryoprecipitate are used to treat DIC.
True
True/False Hemophilia is the most inherited coagulation disorder resulting in excessive bleeding.
True
True/False Parenteral/IV administration of vitamin K is avoided due to a possible anaphylactic reaction.
True
PT/INR, aPTT, D-dimer tests are elevated in which disorder? A - Hemophilia A B - DIC C - Von Willebrand disease D - Thrombocytopenia
B - DIC
Which disorder may be caused by trauma, malignancy, burns, shock, and abruptio placentae? A - Hemophilia A B - DIC C - Von Willebrand disease D - Thrombocytopenia
B - DIC
Which hemophilia type has a deficiency in factor IX? A - Hemophilia A B - Hemophilia B C - Relax with a cup of coffee/tea
B - Hemophilia B
Blood found in sputum is called? A - Epistaxis B - Hemoptysis C - Menorrhagia D - Hematemesis
B - Hemoptysis
Transitory thrombocytosis is due to? A - Hemorrhage B - Stress/physical exercise C - Splenectomy D - Polycythemia vera
B - Stress/physical exercise
What is it called when widened venules cause thread-like red lines or patterns on the skin, AKA spider veins? A - Petechiae B - Telangiectasia C - Purpura D - Bruises/ecchymosis
B - Telangiectasia
If a patient has a family history of bleeding disorders in both males and females, this is a clue for which disorder? A - Factor XIII deficiency B - Von Willebrand disease C - Hemophilia A or B D - Mild to severe deficiency of coagulation factors
B - Von Willebrand disease
Folate/B12 deficiency, radiation/chemotherapy, drugs, aplastic anemia, and bone marrow cancer causes thrombocytopenia through? A - Splenic sequestration B - Intravascular dilution of circulating platelets C - Decreased platelet survival D - Decreased platelet production
D - Decreased platelet production
PT/INR is a lab test used to assess what? A - Intrinsic pathway of coagulation B - Platelet count C - Platelet function D - Extrinsic pathway of coagulation
D - Extrinsic pathway of coagulation
True/False Platelet transfusions or whole/packed blood is NOT a viable treatment for hepatic disease.
False
The normal range for PT (PT/INR) is? A - 12 to 13 B - 8 to 10 C - 16 to 20 D - 11 to 14
D - 11 to 14
What should the goal for INR be for most disorders? A - 2.5 to 3.5 B - 4 to 5 C - 0.8 to 1.1 D - 2 to 3
D - 2 to 3
What can inadequate hemostasis lead to? A - Clotting disorders B - Anemia C - Leukocytosis D - Bleeding disorders
D - Bleeding disorders
What should the goal for INR be for patients with metal heart valves? A - 2.5 to 3.5 B - 4 to 5 C - 0.8 to 1.1 D - 2 to 3
A - 2.5 to 3.5
The normal range for an aPTT test is? A - 30 to 40 sec B - 60 to 70 sec C - 40 to 50 sec D - no idea
A - 30 to 40 sec
What can excessive hemostasis lead to? A - Clotting disorders B - Anemia C - Leukocytosis D - Bleeding disorders
A - Clotting disorders
Defects of the normal clotting mechanism is called? A - Coagulopathies B - Platelet disorders C - Hemophilia D - Thrombocytopenia
A - Coagulopathies
Occult or frank bleeding from the nose is called? A - Epistaxis B - Hemoptysis C - Menorrhagia D - Hematemesis
A - Epistaxis
What does a vitamin K deficiency result in? A - Excessive bleeding B - Excessive clotting C - Malnutrition D - Chronic hepatic disease
A - Excessive bleeding
A decrease in the synthesis of fibrinogen and factor V and XI along with impaired absorption of vitamin K results in what coagulopathy? A - Hepatic disease B - DIC C - Hemophilia A D - Hemophilia B
A - Hepatic disease
Which statement is true about disseminated intravascular coagulation (DIC)? A - It is both a bleeding and clotting disorder B - The acute form has more thrombotic episodes C - Fibrin split products are decreased D - Fibrinogen level is increased
A - It is both a bleeding and clotting disorder
What is it called when pinpoint, round red, brown, or purple spots appear on the skin in clusters, and may look like a rash, as a result of bleeding? A - Petechiae B - Telangiectasia C - Purpura D - Bruises/ecchymosis
A - Petechiae
PT/INR helps determine the use of which med? A - Warfarin B - Heparin C - Thrombolytics D - Aspirin
A - Warfarin
What is the normal range for INR? A - 2.5 to 3.5 B - 4 to 5 C - 0.8 to 1.1 D - 2 to 3
C - 0.8 to 1.1
Vitamin K deficiency causes bleeding and affects which baby? A - Premature B - Disabled C - Breast-fed D - Formula-fed
C - Breast-fed
Which is true regarding hemophilia A? A - Carried by a symptomatic female carrier B - AKA Christmas disease C - Caused by factor VIII deficiency D - It is an X-linked dominant disorder
C - Caused by factor VIII deficiency
Drugs, mechanical prosthetic heart valves, viral/bacterial infection, circulating immune complexes, increased destruction in the spleen, and disseminated intravascular coagulation causes thrombocytopenia through? A - Splenic sequestration B - Intravascular dilution of circulating platelets C - Decreased platelet survival D - Decreased platelet production
C - Decreased platelet survival
Melena or hematochezia is bleeding found in? A - Urine B - Vomit C - Feces D - Sputum
C - Feces
If a patient has a family history of bleeding disorders in males, this is a clue for which disorder? A - Factor XIII deficiency B - Von Willebrand disease C - Hemophilia A or B D - Mild to severe deficiency of coagulation factors
C - Hemophilia A or B
Excessive menstrual bleeding is know as? A - Epistaxis B - Hemoptysis C - Menorrhagia D - Hematemesis
C - Menorrhagia
Factors released by platelets contribute to hemostasis by enhancing what? A - Vasodilation B - Intrinsic pathway C - Platelet aggregation D - Fibrinolysis
C - Platelet aggregation
Thrombocytosis in response to hemorrhage, a disease process, or splenectomy is which type? A - Transitory B - Primary C - Secondary D - Dolphins are cool
C - Secondary
Which is an autosomal dominant disorder of factor VIII carrier protein and platelet dysfunction that causes excessive bleeding? A - Hemophilia A B - DIC C - Von Willebrand disease D - Thrombocytopenia
C - Von Willebrand disease
True/False Vitamin K deficiency may occur with malnutrition and malabsorption but does NOT occur with chronic hepatic disease, antibiotic therapy, or oral anticoagulation therapy.
False