Ecco Bccc Ormc Hematological System

Front 1

Activated through either an intrinsic or extrinsic event, the clotting mechanism leads to a common pathway resulting hemostasis

Back 1

True

Front 2

Platelets transport oxygen to tissue

Back 2

False

Front 3

The liver is responsible for all of the following functions except: synthesis of coagulation factors. Synthesis of albumin. Removal of nonfunctioning erythrocytes. Synthesis of fibrinolytic factors.

Back 3

Synthesis of fibrinolitic factor

Front 4

Fibrin forms a stable clot through activation of

Back 4

Thrombin

Front 5

Which of the following is responsible for removal of damaged to erythrocytes: bone marrow. Liver. Spleen. Pancreas.

Back 5

Spleen

Front 6

All of the following are true regarding a erythropoietin except: actively removes CO2 in the tissue. Erythropoietin is a hormone. Erithropoetin is produced in response to hypoxemia. Stimulates the production of red blood cells

Back 6

Actively removes CO2 in the Tissue

Front 7

The spleens role in the hematologic system

Back 7

Removing damaged red blood cells from the blood

Front 8

Fibrin split products and fibrin degradation products are the same test

Back 8

True

Front 9

A more in-depth assessment of hematologic system should be undertaken if the patient reports which of the following: allergy to ibuprofen. Liver disease. Previous blood transfusion. Amenorrhea.

Back 9

Liver disease

Front 10

The class of drug prevents lysis of thrombus is call

Back 10

Antifibrinolytic

Front 11

Anticoagulants are most effective in

Back 11

The prevention of clotting

Front 12

The class of drugs that prevents coagulation and maybe used in the treatment of thrombotic disorders are call

Back 12

Anticoagulant

Front 13

The class of drugs that can dissolve a thrombus and reopen an artery or vein

Back 13

Thrombolytic

Front 14

Anemia decreases oxygen levels to the kidneys which stimulates erythropoetin production

Back 14

True

Front 15

Which of the following would suggest that red cells should be given: thrombocytopenia level of 75,000. Hematacritic level of 30%. Hypoxia, decreased urine output, decreased level of consciousness. Hypertension.

Back 15

Hypoxia, decreased urine output, decreased level of conscious

Front 16

Increasing levels of fatigue and activity intolerance can be experienced in patients with decreasing levels of

Back 16

Red blood cells

Front 17

RhVIIa is approved for the use of hemophilia associated bleeding

Back 17

True

Front 18

What occurs when an inflammatory process is present

Back 18

The high proportion of fibrinogen causes red blood cells to stick to each other

Front 19

PT evaluate the extrinsic pathway and warfarin therapy

Back 19

True

Front 20

Bleeding time is helpful in determining vascular integrity

Back 20

True

Front 21

Which lab isused to evaluate the patient's ability to initiate clotting and form the foundation of a clot

Back 21

Platelet count

Front 22

Spontaneous bleeding is associated with a platelet count of less than

Back 22

20,000 /mm 3

Front 23

What are we expected laboratory findings in a patient with thrombocytopenia

Back 23

Decreased platelet count, normal PT, APTT, prolonged bleeding time.

Front 24

A patient who developed heparin induced thrombocytopenia HIT should receive platelet transfusions to increase their platelet count to above 100,000

Back 24

False

Front 25

The most common cause of thrombocytopenia is related to drug side

Back 25

False

Front 26

Which lab finding would be most indicative of heparin induced thrombocytopenia

Back 26

Platelet count which is decreased 50% from baseline

Front 27

ESR is increased in which of the following conditions: sickle cell anemia. Polycythemia. Inflammation

Back 27

Inflammation

Front 28

Fibrin split products and fibrin degradation products are the same test

Back 28

True

Front 29

What is produced when cross-linked fibrin is broken up

Back 29

D – dimer

Front 30

One of the first signs and symptoms of DIC is. Inappropriate clotting and thrombosis

Back 30

False

Front 31

Which of the following processes would be least likely to initiate DIC: pneumonia. Sepsis. Obstetrical emergency. Snakebite

Back 31

Pneumonia

Front 32

Clinical presentation of the patient with DIC includes

Back 32

Hematomas, epistaxis and petechiae

Front 33

Which treatment may be used in a patient with thrombocytopenia but not typically used in a patient with DIC

Back 33

Plasmapheresis

Front 34

In which of the following types of disorders would you anticipate a patient would most likely develop DIC: amputation, anaphylaxis, hypovolemia. Appendectomy, shock, sepsis. Fracture, minor trauma, sepsis. Burns, shock, sepsis.

Back 34

Burns, shock, sepsis

Front 35

Sudden unrelenting pain that may not be localized is a symptom of which sickle cell pattern

Back 35

Abdominal crisis

Front 36

Oh hi red blood cell count could indicate you erythrocytosis

Back 36

True

Front 37

Red cell distribution width measures the variation in size of the rbcs

Back 37

True

Front 38

The fibrinogen level maybe elevated with sepsis

Back 38

True

Front 39

What occurs when an inflammatory process is present

Back 39

The high proportion of fibrinogen causes red blood cells to stick to each other

Front 40

PT evaluate the extrinsic pathway and warfarin therapy

Back 40

True

Front 41

PT, INR and PTT evaluate if the patient has the plasma proteins needed to form a clot

Back 41

True

Front 42

What are the expected laboratory findings in a patient with thrombocytopenia

Back 42

Decreased platelet count, normal PT, APTT, prolonged bleeding time

Front 43

The clinical presentation of a patient with idiopathic thrombocytopenia purpura is dependent upon what indicator of severity

Back 43

Platelet count

Front 44

A platelet transfusion is indicated when the platelet count falls below 50,000

Back 44

False

Front 45

Lab values D I C

Back 45

Elevated PT, APTT, FSP, D dimer. Decreased platelets, fibrinogen.

Front 46

APTT is used to evaluate

Back 46

Intrinsic pathway and heparin therapy

Front 47

Which treatment may be used in the patient but thrombocytopenia but not typically in a patient with D I C

Back 47

Plasmapheresis

Front 48

Which lab values are elevated in DIC

Back 48

PT/PTT

Front 49

Under microscopic examination reticulocytes stain

Back 49

Blue

Front 50

A platelet transfusion is indicated when the platelet count falls below 50000

Back 50

True

Front 51

A patient who develops HIT should receive platelet transfusions to increase their platelet count to above 100,000

Back 51

False

Front 52

The most common cause of thrombocytopenia is related to drug side effects

Back 52

False

Front 53

What are the expected lab findings in the patient with thrombocytopenia

Back 53

Decreased platelet count, normal PT, APTT, prolonged bleeding time

Front 54

What is considered a physical sign of altered coagulation

Back 54

Ecchymosis

Front 55

Production of which of the following results and fibrinolysis. Fibrin. Platelet activating factor. Plasmin, Fibrin split pot.

Back 55

Plasmin

Front 56

The liver is responsible for all of the following functions except. Synthesis of coagulation factors. Synthesis of albumin. Removal of nonfunctioning erythrocytes. Synthesis of fibrinolytic factors

Back 56

Synthesis of fibrinolytic factors

Front 57

A T-cell Originates as a myeloid stem cell

Back 57

False

Front 58

Which factor is involved in the final common pathway of coagulation

Back 58

X

Front 59

What type of cell is the precursor of myeloid stem cells

Back 59

Stem cells

Front 60

The liver is responsible for all of the following functions except. Synthesis of coagulation factors. Synthesis of albumin. Removal of nonfunctioning erythrocytes. Synthesis of fibrinolytic factors

Back 60

Synthesis of fibrinolytic factors