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Question 1 of 20
1. Question
How does GPIb become activated in vivo and in vitro, respectively?
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Question 2 of 20
2. Question
A patient is on aspirin 100 mg/day to prevent the formation of clots caused by platelets. The mechanism in which aspirin impairs platelet function is by:
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Question 3 of 20
3. Question
A patient is diagnosed with a factor V Leiden mutation. The factor V activity level should be:
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Question 4 of 20
4. Question
The International Sensitivity Index (ISI) is determined by comparing the PT results of the manufacturer’s reagent against:
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Question 5 of 20
5. Question
A coagulation reagent should be sensitive to factor deficiencies. A reagent is considered sensitive to a factor when the level of factor activity is approximately:
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Question 6 of 20
6. Question
What factors are considered heat labile?
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Question 7 of 20
7. Question
What factor serves as a carrier for factor VIII?
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Question 8 of 20
8. Question
Patients may present with either a bleeding or a thrombotic event in:
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Question 9 of 20
9. Question
The key enzyme of the fibrinolytic system is:
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Question 10 of 20
10. Question
The major serine protease responsible for clot breakdown is:
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Question 11 of 20
11. Question
What subendothelial structural protein triggers coagulation through activation of FVII?
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Question 12 of 20
12. Question
Protein C and its cofactor protein S proteolytically inactivate factors:
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Question 13 of 20
13. Question
Arterial thrombosis is caused by:
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Question 14 of 20
14. Question
The 2 factors that differentiate liver disease from vitamin K deficiency are:
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Question 15 of 20
15. Question
In a patient diagnosed with liver disease, which one of the following factors typically shows an increase?
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Question 16 of 20
16. Question
A 4-year-old boy presents with chronic ear infections and is on prophylactic antibiotics. He also presents with a bleeding diathesis. Factor assay results are shown in this table:
test
patient result
reference range
factor VIII
100%
50-150%
factor V
75%
50-150%
factor IX
38%
50-150%
factor II
22%
50-150%
Possible causes are:
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Question 17 of 20
17. Question
A hemophiliac male and a normal female can produce a:
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Question 18 of 20
18. Question
Hemophilia B is a sex-linked recessive disorder that presents with a decrease in factor:
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Question 19 of 20
19. Question
To distinguish between hemophilia and von Willebrand disease, a patient with von Willebrand will present with which of the following test results?
results
aPTT
platelet screen
ristocetin cofactor
a
abnormal
normal
normal
b
normal
abnormal
normal
c
abnormal
abnormal
abnormal
d
normal
normal
abnormal
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Question 20 of 20
20. Question
A patient presents with bleeding 48 hours after tooth extraction. Results are shown in this table:
test
patient result
reference range
PT
11.5 seconds
10-13 seconds
aPTT
32.5 seconds
23-35 seconds
fibrinogen
345 mg/dL(3.45 g/L)
200-400 mg/dL (2.0-4.0g/L)
platelets
324 x 103/μL (324 x 109/L)
150-450 x 103/μL (150-450×109/L)
The cause of bleeding is most likely a deficiency in:
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