Hematology 2: Platelet Disorders

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21 Questions

What is the primary mechanism thought to be responsible for Heparin-induced thrombocytopenia (HIT)?

Activation of platelets and endothelial cells by immune complexes

Which condition is caused by an autoantibody to a protease enzyme responsible for cleaving von Willebrand factor?

Thrombotic thrombocytopenic purpura (TTP)

Which test is sensitive to factors I, II, VII, V, and X?

PT/INR

What does a prolonged prothrombin time indicate?

Vitamin K deficiency or liver disease

Which condition is due to a deficiency of coagulation factor VIII?

Haemophilia A

What is the target INR range for patients taking warfarin?

2.0 - 3.0

What is the antidote for warfarin?

Vitamin K

Which anticoagulant does not require laboratory monitoring?

Direct oral anticoagulants (DOACs)

'Thrombotic thrombocytopenic purpura (TTP)' can result in which of the following?

Fluctuating neurological signs

'Disseminated intravascular coagulation' usually occurs as a result of catastrophic activation of which pathway?

(Coagulation pathway)

Which factor is a common cause of acquired platelet dysfunction?

Aspirin

What happens as a result of local vasoconstriction following an injury to blood vessels?

Platelet plug formation

Which type of platelet disorder can be caused by decreased production of platelets due to suppression or failure of the bone marrow?

All of the above

What is the most frequent cause of an isolated thrombocytopenia without anaemia or neutropenia?

Idiopathic thrombocytopenic purpura (ITP)

In which age group does idiopathic thrombocytopenic purpura (ITP) often present insidiously in adults?

Women aged 15-50 years

Which of the following is a rare complication of blood transfusion?

Post-transfusion purpura (PTP)

What type of autoantibody is usually produced in idiopathic thrombocytopenic purpura (ITP)?

IgG

Which disorder is the commonest cause of thrombocytopenia due to decreased production of platelets?

Aplastic anaemia

What is the commonest cause of thrombocytopenia due to increased platelet consumption?

Immune mechanisms

Which condition often follows a viral infection in children and presents with acute onset of thrombocytopenia?

Idiopathic thrombocytopenic purpura (ITP)

Which disorder presents with an insidious onset, most frequently in women aged 15-50 years, and can be associated with other autoimmune diseases?

Idiopathic thrombocytopenic purpura (ITP)

Test your knowledge of platelet disorders, including congenital abnormalities affecting platelet production and function. Explore the causes of decreased platelet production due to bone marrow suppression or failure, along with acquired abnormalities resulting from various conditions and treatments.

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