Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
60 Cards in this Set
- Front
- Back
Activated through either an intrinsic or extrinsic event, the clotting mechanism leads to a common pathway resulting hemostasis
|
True
|
|
Platelets transport oxygen to tissue
|
False
|
|
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.
|
Synthesis of fibrinolitic factor
|
|
Fibrin forms a stable clot through activation of
|
Thrombin
|
|
Which of the following is responsible for removal of damaged to erythrocytes: bone marrow. Liver. Spleen. Pancreas.
|
Spleen
|
|
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
|
Actively removes CO2 in the Tissue
|
|
The spleens role in the hematologic system
|
Removing damaged red blood cells from the blood
|
|
Fibrin split products and fibrin degradation products are the same test
|
True
|
|
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.
|
Liver disease
|
|
The class of drug prevents lysis of thrombus is call
|
Antifibrinolytic
|
|
Anticoagulants are most effective in
|
The prevention of clotting
|
|
The class of drugs that prevents coagulation and maybe used in the treatment of thrombotic disorders are call
|
Anticoagulant
|
|
The class of drugs that can dissolve a thrombus and reopen an artery or vein
|
Thrombolytic
|
|
Anemia decreases oxygen levels to the kidneys which stimulates erythropoetin production
|
True
|
|
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.
|
Hypoxia, decreased urine output, decreased level of conscious
|
|
Increasing levels of fatigue and activity intolerance can be experienced in patients with decreasing levels of
|
Red blood cells
|
|
RhVIIa is approved for the use of hemophilia associated bleeding
|
True
|
|
What occurs when an inflammatory process is present
|
The high proportion of fibrinogen causes red blood cells to stick to each other
|
|
PT evaluate the extrinsic pathway and warfarin therapy
|
True
|
|
Bleeding time is helpful in determining vascular integrity
|
True
|
|
Which lab isused to evaluate the patient's ability to initiate clotting and form the foundation of a clot
|
Platelet count
|
|
Spontaneous bleeding is associated with a platelet count of less than
|
20,000 /mm 3
|
|
What are we expected laboratory findings in a patient with thrombocytopenia
|
Decreased platelet count, normal PT, APTT, prolonged bleeding time.
|
|
A patient who developed heparin induced thrombocytopenia HIT should receive platelet transfusions to increase their platelet count to above 100,000
|
False
|
|
The most common cause of thrombocytopenia is related to drug side
|
False
|
|
Which lab finding would be most indicative of heparin induced thrombocytopenia
|
Platelet count which is decreased 50% from baseline
|
|
ESR is increased in which of the following conditions: sickle cell anemia. Polycythemia. Inflammation
|
Inflammation
|
|
Fibrin split products and fibrin degradation products are the same test
|
True
|
|
What is produced when cross-linked fibrin is broken up
|
D – dimer
|
|
One of the first signs and symptoms of DIC is. Inappropriate clotting and thrombosis
|
False
|
|
Which of the following processes would be least likely to initiate DIC: pneumonia. Sepsis. Obstetrical emergency. Snakebite
|
Pneumonia
|
|
Clinical presentation of the patient with DIC includes
|
Hematomas, epistaxis and petechiae
|
|
Which treatment may be used in a patient with thrombocytopenia but not typically used in a patient with DIC
|
Plasmapheresis
|
|
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.
|
Burns, shock, sepsis
|
|
Sudden unrelenting pain that may not be localized is a symptom of which sickle cell pattern
|
Abdominal crisis
|
|
Oh hi red blood cell count could indicate you erythrocytosis
|
True
|
|
Red cell distribution width measures the variation in size of the rbcs
|
True
|
|
The fibrinogen level maybe elevated with sepsis
|
True
|
|
What occurs when an inflammatory process is present
|
The high proportion of fibrinogen causes red blood cells to stick to each other
|
|
PT evaluate the extrinsic pathway and warfarin therapy
|
True
|
|
PT, INR and PTT evaluate if the patient has the plasma proteins needed to form a clot
|
True
|
|
What are the expected laboratory findings in a patient with thrombocytopenia
|
Decreased platelet count, normal PT, APTT, prolonged bleeding time
|
|
The clinical presentation of a patient with idiopathic thrombocytopenia purpura is dependent upon what indicator of severity
|
Platelet count
|
|
A platelet transfusion is indicated when the platelet count falls below 50,000
|
False
|
|
Lab values D I C
|
Elevated PT, APTT, FSP, D dimer. Decreased platelets, fibrinogen.
|
|
APTT is used to evaluate
|
Intrinsic pathway and heparin therapy
|
|
Which treatment may be used in the patient but thrombocytopenia but not typically in a patient with D I C
|
Plasmapheresis
|
|
Which lab values are elevated in DIC
|
PT/PTT
|
|
Under microscopic examination reticulocytes stain
|
Blue
|
|
A platelet transfusion is indicated when the platelet count falls below 50000
|
True
|
|
A patient who develops HIT should receive platelet transfusions to increase their platelet count to above 100,000
|
False
|
|
The most common cause of thrombocytopenia is related to drug side effects
|
False
|
|
What are the expected lab findings in the patient with thrombocytopenia
|
Decreased platelet count, normal PT, APTT, prolonged bleeding time
|
|
What is considered a physical sign of altered coagulation
|
Ecchymosis
|
|
Production of which of the following results and fibrinolysis. Fibrin. Platelet activating factor. Plasmin, Fibrin split pot.
|
Plasmin
|
|
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
|
Synthesis of fibrinolytic factors
|
|
A T-cell Originates as a myeloid stem cell
|
False
|
|
Which factor is involved in the final common pathway of coagulation
|
X
|
|
What type of cell is the precursor of myeloid stem cells
|
Stem cells
|
|
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
|
Synthesis of fibrinolytic factors
|