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N5315 ADVANCED PATHOPHYSIOLOGY DISORDERS OF HEMOSTASIS QUESTIONS AND CORRECT ANSWERS

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N5315 ADVANCED PATHOPHYSIOLOGY DISORDERS OF HEMOSTASIS QUESTIONS AND CORRECT ANSWERS

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N5315
Course
N5315

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What are arterial thrombi composed of?


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Fibrin and platelets




What factor is deficient in Hemophilia B?


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Factor IX




What is a major clinical problem associated with HIT?

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Thrombosis (arterial and venous)




What is a thrombus composed of?


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Fibrin and blood cells




What are the clinical manifestations of a bleed from a coagulopathy?


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Joint bleeding; tissue hematomas; large, spontaneous, centrally located




What are the most common sites of bleeding in Hemophilia A?


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knees, elbows, and ankles; GI bleeding; spontaneous bleeding indicative of
severe disease; bleeding only after injury/trauma or surgery indicates
milder disease




A platelet count above what is enough to maintain hemostasis?

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50,000




When should you suspect a thrombophilia?


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Recurrent thromboembolism; VTE in person < 40; familial history of venous
thromboembolism; thrombosis in unusual sites as mesenteric vein, renal
vein, hepatic and cerebral thrombosis




What is Type 2 HIT?


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Immune mediated drug reaction resulting in platelet destruction; severe
form of HIT




What are the clinical manifestations of HIT?


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An otherwise unexplained fall in platelet count 5-10 days after receiving
heparin; 25-30% of patients present with rapid onset HIT, in which platelet
count falls abruptly; persons can present with HIT up to 2 weeks after their
last exposure to heparin

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