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WorksheetsHemostasis and Coagulation
Total questions: 30
Worksheet time: 2hrs 52mins
What is the final product of secondary hemostasis?
Platelet plug
Fibrin Clot
ormal blood flow
B and C
It involves the response of the coagulation factors during vascular injury.
Primary Hemostasis
Secondary Hemostasis
Megakaryopoiesis
NOTA
1. Hemostasis comes from Greek; "Hemo" means "Blood" and "Stasis" means ________.
stopping
motionlessness
Either
Neither
In megakaryopoiesis, megakaryoblast contains cytoplasmic granules.
True
False
Megakaryocytes have already visible thrombocytes.
True
False
Metamegakaryocyte contains cytoplasmic tags or blunt protrusions of cytoplasm extending into its external environment.
True
False
Circulating, inactive platelets have _____ shape.
Irregular
Discoid
Protruding
Blunt
Hemostasis is:
A process which occurs in 2 phases: primary and secondary hemostasis
A production, maturation, and proliferation of thrombocytes
A mechanism involving the interaction of blood vessels, platelets and coagulation factors
Only 2 options are correct
AOTA
Megakaryocyte maturation series: Mature to Immature
I. Metamegakaryocytes II. Megakaryoblasts
III. Promegakaryocytes IV. Megakaryocytes
I,II,III,IV
IV,II,III,I
I,IV,III,II
II,III,IV,I
Cytoplasmic Tags in Promegakaryocytes.
Present
Absent
Usually Absent
Any of the Above
The stage of Megakaryopoiesis where Demarcating Membrane System (DMS) is first formed.
Megakaryocytes
Metamegakaryocytes
Leukocytes
Promegakaryocytes
Substances involved in Primary Hemostasis.
I. Platelets
II. PK
III. Blood vessels
IV. Tissue Thromboplastin
I and II
II and III
I and III
II and IV
Megakaryocytic Cell series or maturation is done at what site?
Liver
Peripheral Blood
Bone Marrow
NOTA
What is the specimen of choice to visualize and study the different Megakaryocytic cells?
Whole Blood
Platelet Concentrate
Bone Marrow Aspirate
Any of the Three
What is the nuclear feature of Promegakaryocytes?
Single Nucleus
Double Nuclei
2 or more Nuclei
4 or more Nuclei
Which of the following is true?
The extrinsic system is activated first, and then the intrinsic system is turned on later
The intrinsic system is weak and short-lived
The extrinsic system is only important in vitro
Factors V and VII are only important in vitro
Patients with which of the following diseases may have a normal PTT?
von Willebrand’s disease
Hemophilia A
Hemophilia B
Factor V Leiden
A twenty-seven year-old woman complains of heavy menstrual periods, ease of bruising and excessive bleeding following a dental procedure. She has a normal platelet count, normal PT, but slightly prolonged aPTT. Of the following, the test that will most likely make the diagnosis is.
Ristocetin cofactor
Factor VII assay
Test for anticardiolipin antibodies
all of the above
Features of the antiphosopholipid syndrome include all of the following except
A prolonged PT
A prolonged aPTT
High incidence of venous thrombosis
Placental infarction and fetal loss
von Willebrand factor adheres platelets to exposed subendothelial collagen via
glycoprotein Ib
glycoprotein Ia
glycoprotein 2b/3a
glycoprotein x/v
Platelets aggregate with each other with the help of fibrinogen that binds to
glycoprotein Ia
glycoprotein Ib
glycoprotein IIb-IIIa
glycoprotein x/v
thrombin activates following factors, except
5
8
12
13
clot retraction is mediated by
gp1a
gp1b
gp2b/3a
gpx/v
antithrombin inhibits the following except
protein c
TF+VIIa
factor Xa
factor Va
urokinase activates
TPA
plasminogen
TFPI
PAI
A 7 year old girl requiring a tonsillectomy and adenoidectomy undergoes pre-operative laboratory testing by her surgeon revealing a prolonged activated partial thromboplastin time (PTT) of 150 seconds (normal range 22-36 seconds). Her prothrombin time (PT) is normal. She had previously had 2 dental extractions that were uneventful. She otherwise has no personal or family history of bleeding. Which of the following is most likely:
Factor VIII activity of 2%
Factor IX activity of 2%
Factor VII activity of 2%
Factor XI activity of 2%
Factor XII activity of 2%
A 1 year old male presents to the emergency room with irritability and vomiting, and a CT scan demonstrates a large intracranial parenchymal hemorrhage. The mother reports that his only other bleeding symptom was prolonged bleeding from the umbilical stump. The patient comes from a large pedigree with numerous male and female first and second degree relatives, however there is no history of excessive bleeding in any of them. Which of the laboratory test patterns are most consistent with this history?
Normal PT and PTT
Prolonged PT, normal PTT
Normal PT, prolonged PTT
Prolonged PT, prolonged PTT
A 34-year-old man with limited medical history presents with recurrent epistaxis and prolonged bleeding following a dental extraction. He notes a history of easy bruising. His nose bleeds last for up to an hour and he has required medical intervention on several occasions to control the bleeding. A complete blood count (CBC) shows mild thrombocytopenia (134 x 109/L) but is otherwise normal. Prothrombin time (PT) and partial thromboplastin time (PTT) are normal. Review of the peripheral blood smear shows giant platelets. Which of the following is most likely to support the diagnosis?
Von Willebrand factor activity, von Willebrand factor antigen, factor 8, multimer analysis
Platelet function testing showing no aggregation with ristocetin
Platelet function testing showing no aggregation to all agonists except ristocetin
Platelet electron microscopy
Which factor has shortest half-life?
7
8
5
13
Joint hematoma (hemarthosis) can be seen in all, except
Hemophilia A
Hemophilia B
Bernard Soulier syndrome
Type III VWD
