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How does GPIb become activated in vivo and in vitro, respectively?
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:
A patient is diagnosed with a factor V Leiden mutation. The factor V activity level should be:
The International Sensitivity Index (ISI) is determined by comparing the PT results of the manufacturer’s reagent against:
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:
What factors are considered heat labile?
What factor serves as a carrier for factor VIII?
Patients may present with either a bleeding or a thrombotic event in:
The key enzyme of the fibrinolytic system is:
The major serine protease responsible for clot breakdown is:
What subendothelial structural protein triggers coagulation through activation of FVII?
Protein C and its cofactor protein S proteolytically inactivate factors:
Arterial thrombosis is caused by:
The 2 factors that differentiate liver disease from vitamin K deficiency are:
In a patient diagnosed with liver disease, which one of the following factors typically shows an increase?
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:
A hemophiliac male and a normal female can produce a:
Hemophilia B is a sex-linked recessive disorder that presents with a decrease in factor:
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 |
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: