Coagulation Disorders: Causes and Types
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Questions and Answers

What is the result of a deficiency of Protein C or S?

  • Excessive clotting (correct)
  • Normal clotting
  • Excessive bleeding
  • No clotting at all
  • Which of the following is a characteristic of a mutated Factor V?

  • It is an autosomal recessive disorder
  • It cannot be inhibited by Protein S or C (correct)
  • It can be inhibited by Protein S or C
  • It only affects females
  • What is the pattern of inheritance of a deficiency of Factor VIII or IX?

  • Mitochondrial
  • Autosomal recessive
  • Autosomal dominant
  • X-Linked (correct)
  • What is the result of a deficiency of Antithrombin?

    <p>Excessive clotting</p> Signup and view all the answers

    What is the diagnostic test result for a deficiency of Factor VIII or IX?

    <p>Serum levels of factors: Decreased Factor VIII or IX</p> Signup and view all the answers

    What is the presentation of Deep Tissue Bleeding?

    <p>Widespread clotting, targeting organ dysfunction</p> Signup and view all the answers

    What is the primary mechanism of action in ITP that leads to thrombocytopenia?

    <p>Production of autoantibodies against platelet receptors</p> Signup and view all the answers

    Which of the following statements is true about Von Willebrand factor?

    <p>It helps to prolong the life of factor VIII</p> Signup and view all the answers

    What is the characteristic of bleeding in Hemophilia A?

    <p>Deep tissue bleeding with prolonged PTT</p> Signup and view all the answers

    What is the primary cause of hemolytic anemia in DIC?

    <p>Mechanical destruction of RBCs by clots</p> Signup and view all the answers

    Which of the following is a characteristic of ITP?

    <p>Thrombocytopenia with normal PT/PTT</p> Signup and view all the answers

    What is the role of endothelium in DIC?

    <p>It releases tissue factor and vWF</p> Signup and view all the answers

    Which of the following is NOT a characteristic of Hemophilia A?

    <p>Thrombocytopenia</p> Signup and view all the answers

    What is the primary mechanism of action in DIC?

    <p>Release of proinflammatory cytokines</p> Signup and view all the answers

    Study Notes

    Platelet Disorders

    • Immune Thrombocytopenic Purpura (ITP): Weak platelet plug leading to superficial bleeding due to autoimmune process, resulting in increased destruction of platelets.
    • Mechanism of action: Autoantibodies against platelet receptors, leading to platelet destruction by macrophages in the spleen, causing thrombocytopenia.

    Von Willebrand Factor Disorder

    • Weak platelet plug leading to superficial bleeding due to impaired platelet function, caused by a deficiency of Von Willebrand Factor.
    • Mechanism of action: Low amount of Von Willebrand Factor, impairing platelet adhesion to collagen, leading to superficial bleeding with normal platelet count.
    • Additional effect: Decreased factor VIII, causing prolonged PTT.

    Coagulation Disorders

    • Hemophilia: Insufficient production of fibrin mesh, leading to deep tissue bleeding.
    • Mechanism of action: Deficiency of factor VIII (Hemophilia A) or factor IX (Hemophilia B), leading to reduced fibrin production and deep tissue bleeding.

    Mixed Disorders

    • Disseminated Intravascular Coagulation (DIC): Widespread activation of platelets and coagulation factors, leading to excessive clotting and bleeding.
    • Mechanism of action: Proinflammatory cytokines damage endothelium, releasing tissue factor and Von Willebrand Factor, leading to widespread clot formation, organ ischemia, and hemolytic anemia.
    • Later stages: Consumption of platelets and fibrin leads to bleeding.

    Inherited Thrombophilia

    • Deficiency of Protein C or S, leading to unregulated clotting.
    • Deficiency of Antithrombin, leading to unregulated clotting.
    • Mutated Factor V, leading to resistance to Protein S or C, causing excessive clotting.

    Patterns of Inheritance

    • Autosomal Dominant: Inherited thrombophilia affects both men and women, with a single inherited gene.
    • X-Linked Disorder: Hemophilia affects mostly males, in all ethnic groups, with females as carriers.

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    Description

    This quiz covers different types of coagulation disorders, including platelet disorders, coagulation factor disorders, and mixed disorders. Learn about the causes and symptoms of each type.

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