Factor Deficiency Diagnosis Quiz
29 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is a common issue that might arise in a hemophilia A patient if a factor assay does not match expected levels after a therapeutic infusion of factor concentrate?

  • Presence of spontaneous inhibitors (correct)
  • Decreased white blood cell count
  • Excess red blood cell production
  • Increased platelet count

What is the purpose of the Whole Blood Clot Lysis Time test?

  • Detecting increased fibrinolysis (correct)
  • Measuring red blood cell count
  • Determining white blood cell activity
  • Assessing platelet function

What happens when a clot in the bloodstream detaches and circulates, potentially leading to obstructions in organs?

  • Enhanced clot dissolution process
  • Decreased risk of clot-related issues
  • Formation of aneurysm in the lungs
  • Increased risk of pulmonary embolism (correct)

Which antibodies are responsible for neutralizing the function of a specific factor in hemophilia patients?

<p>Spontaneous inhibitors (C)</p> Signup and view all the answers

In the context of fibrinolysis, what is the role of excess systemic fibrinolysis?

<p>Leading to clot lysis before 48 hours (D)</p> Signup and view all the answers

Which test is specifically used to detect high increases in fibrinolytic activity?

<p>Whole Blood Clot Lysis Time Test (C)</p> Signup and view all the answers

What is the primary function of fibrinolysis?

<p>To dissolve the clot (C)</p> Signup and view all the answers

Why do the results of more concentrated dilutions (1:10, 1:20) tend to be lower in the presence of inhibitors like Lupus inhibitors or heparin?

<p>The inhibitors are diminished by dilution (C)</p> Signup and view all the answers

In the provided table, which dilution resulted in an activity percentage of 6.3%?

<p>1:160 (C)</p> Signup and view all the answers

What happens when there is hyperactivity of fibrinolysis?

<p>Clots dissolve more slowly (A)</p> Signup and view all the answers

What is the significance of performing coagulation tests on a timerometer?

<p>To assess clotting time (D)</p> Signup and view all the answers

Which tube from the table had a dilution resulting in 25% activity?

<p>#3 (A)</p> Signup and view all the answers

What is the next step if no correction is seen in mixing studies for a patient with factor deficiency?

<p>Check for antiphospholipid antibodies (A)</p> Signup and view all the answers

Which of the following is used to determine the plasma concentration of factors II, V, VII, and X?

<p>Prothrombin time (PT) (D)</p> Signup and view all the answers

What is the normal range of activity for factors II, V, VII, and X in plasma?

<p>50-150% (C)</p> Signup and view all the answers

In factor V deficiency, what is used as a reference plasma for testing?

<p>Normal control plasma (A)</p> Signup and view all the answers

What does the amount of correction by patient's plasma in a prothrombin time test correlate with?

<p>Factor activity level (B)</p> Signup and view all the answers

What should be checked if specific factor assays reveal low concentration of a particular factor?

<p>Factor inhibitors (C)</p> Signup and view all the answers

What is the principle behind the Ethanol Gelation Test?

<p>Fibrin soluble monomers dissociate in the presence of 50% ethanol, leading to polymerization and gel formation. (D)</p> Signup and view all the answers

What is the significance of a positive result in the Latex D-Dimer Assay?

<p>It indicates the presence of fibrin degradation products, specifically D-dimer. (A)</p> Signup and view all the answers

Which of the following conditions is NOT associated with a decreased level of plasminogen?

<p>Disseminated Intravascular Coagulation (DIC) (C)</p> Signup and view all the answers

What is the purpose of the Plasminogen Assay?

<p>To assess if there are any plasminogen deficiencies. (C)</p> Signup and view all the answers

What is the reference interval for the Prothrombin Time (PT) mentioned in the text?

<p>11 to 14 seconds (C)</p> Signup and view all the answers

What is the significance of a positive result in the Latex Fibrin Degradation Product (FDP) Assay?

<p>It indicates the presence of fibrin degradation products. (C)</p> Signup and view all the answers

What is the substrate that the enzyme peroxidase acts on in the presence of hydrogen peroxide?

<p>OPD (Orthophenylenediamine) (C)</p> Signup and view all the answers

What is the proportion of total protein S antigen in the plasma that is normally bound to C4b?

<p>60% (B)</p> Signup and view all the answers

What is the role of the free protein S in the plasma?

<p>It serves as a cofactor for the anticoagulant effects of activated protein C. (B)</p> Signup and view all the answers

What happens to the protein S bound to C4b BP?

<p>It is precipitated with polyethylene glycol. (A)</p> Signup and view all the answers

Which of the following is not a cause of acquired deficiency of protein S?

<p>Hereditary thrombophilia (B)</p> Signup and view all the answers

More Like This

Use Quizgecko on...
Browser
Browser