Hemostasis and Thrombosis Process Quiz

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Questions and Answers

What is the primary function of vasoconstriction in the process of hemostasis?

  • To increase blood flow
  • To activate the clotting cascade
  • To promote platelet plug formation
  • To reduce blood flow (correct)

Which disorder is characterized by a defect in collagen in the vessel wall?

  • Glanzmann's thrombasthenia
  • Von Willebrand disease
  • Ehlers Danlos syndrome (correct)
  • Hemophilia

What is the commonest inherited bleeding disorder involving platelets?

  • Hemophilia
  • Ehlers Danlos syndrome
  • Von Willebrand disease
  • Glanzmann's thrombasthenia (correct)

Which factor deficiency is associated with secondary hemostasis disorders?

<p>Fibrinogen (D)</p> Signup and view all the answers

Which anticoagulant drug directly inhibits thrombin?

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

What do normal endothelial cells express that inhibits platelet aggregation and promotes fibrinolysis?

<p>Anticoagulant factors (D)</p> Signup and view all the answers

In the process of hemostasis, what do platelets adhere to after injury?

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

What is the role of secreted granule contents in platelet aggregation?

<p>Activating GpIIb/IIIa receptors on activated platelets (B)</p> Signup and view all the answers

Which factor is responsible for generating cross-linked fibrin and activating other coagulation factors?

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

What is the most common origin of pulmonary embolism?

<p>Deep vein thrombosis (DVT) (D)</p> Signup and view all the answers

What is the impact of a saddle embolus on the body?

<p>Acute right heart failure (B)</p> Signup and view all the answers

What is the dominant histologic characteristic of infarction morphology?

<p>Wedge-shaped infarcts (C)</p> Signup and view all the answers

What percentage of systemic emboli arise from intracardiac mural thrombi?

<p>80% (D)</p> Signup and view all the answers

From which part of the organ does the periphery of an infarct originate?

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

What is the mortality rate associated with deep vein thrombosis (DVT)?

<p>10% (D)</p> Signup and view all the answers

What is the mortality rate associated with sepsis and shock?

<p>55-70% (A)</p> Signup and view all the answers

Which of the following is NOT a focus of management in the treatment of sepsis?

<p>Administering anticoagulants (C)</p> Signup and view all the answers

What does a body temperature exceeding 38°C indicate in the context of SIRS?

<p>SIRS criteria met (D)</p> Signup and view all the answers

What is the effect of hypoxic ischemic encephalopathy on brain regions?

<p>Primarily affects hippocampus (C)</p> Signup and view all the answers

Which population group is most commonly impacted by septic emboli?

<p>Elderly individuals (C)</p> Signup and view all the answers

What is the preferred timing for administering blood cultures in sepsis management?

<p>Within the first hour of sepsis recognition (A)</p> Signup and view all the answers

Which physiological change in pregnancy can mimic SIRS criteria?

<p>Increased respiratory rate (C)</p> Signup and view all the answers

In the context of cognitive impairment related to sepsis, which of the following is common?

<p>'Red neurons' indicating irreversible injury (D)</p> Signup and view all the answers

'Pre-existing organ dysfunction/disease' is classified as which type of comorbidity in the context of sepsis?

<p>'Specific' comorbidity (B)</p> Signup and view all the answers

What is the role of thrombin in platelet aggregation?

<p>Generates cross-linked fibrin and activates other coagulation factors (B)</p> Signup and view all the answers

Which condition is characterized by Abnormal blood flow, endothelial dysfunction, and hypercoagulability?

<p>Deep vein thrombosis (C)</p> Signup and view all the answers

What is the morphological characteristic of gross infarcts?

<p>Wedge-shaped (D)</p> Signup and view all the answers

What is the primary source of systemic emboli in the body?

<p>Intracardiac mural thrombi (B)</p> Signup and view all the answers

Which type of embolus causes acute right heart failure and sudden death?

<p>Saddle embolus (B)</p> Signup and view all the answers

In which time frame does a visible inflammatory response occur in infarction morphology?

<p>2-3 days (D)</p> Signup and view all the answers

What is the most common cause of pulmonary embolism?

<p>Deep vein thrombosis (A)</p> Signup and view all the answers

Which type of PE causes pulmonary hemorrhage or pulmonary infarction?

<p>Single large embolus (D)</p> Signup and view all the answers

What is the impact of hypoxic ischemic encephalopathy on brain regions?

<p>Widespread necrosis (A)</p> Signup and view all the answers

Which step in the process of hemostasis involves the activation of clotting cascade and the generation of fibrin clot formation?

<p>Activation of endothelium (B)</p> Signup and view all the answers

Which inherited bleeding disorder is characterized by a defect in coagulation factor VIII or IX?

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

Which type of Von Willebrand disease is characterized by the absence or severe reduction in Von Willebrand factor (VWF)?

<p>Type 3 (D)</p> Signup and view all the answers

Which drug acts as an indirect inhibitor of gamma carboxylation of vitamin K clotting factors?

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

What is the primary function of endothelial cells during the process of hemostasis?

<p>Express anticoagulant factors (B)</p> Signup and view all the answers

Which disorder is characterized by a deficiency in platelets leading to abnormal primary hemostasis?

<p>Glanzmann's thrombasthenia (B)</p> Signup and view all the answers

What is the mechanism of action of direct thrombin inhibitors like Dabigatran?

<p>Directly inhibit thrombin activity (B)</p> Signup and view all the answers

Which step in hemostasis involves platelets adhering to the extracellular matrix (ECM) to protect it after injury?

<p>Adhesion of platelets to ECM (B)</p> Signup and view all the answers

Which anticoagulant drug is classified as a thrombin inhibitor with a short half-life?

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

What is the initial management approach recommended in the first hour of sepsis?

<p>Provide cardiopulmonary support (D)</p> Signup and view all the answers

Which of the following conditions results in a vasogenic oedema that can become cytotoxic if cells are damaged?

<p>Hypoxic ischemic encephalopathy (A)</p> Signup and view all the answers

What is a common cause of maternal mortality in pregnancy?

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

In the context of sepsis management, what is advised after administering blood cultures and blood work?

<p>Fluids and antimicrobials (D)</p> Signup and view all the answers

Which factor contributes to the characteristic red neurons observed in brain damage during sepsis?

<p>Ischemic insult (B)</p> Signup and view all the answers

What is a key feature of general comorbidities associated with sepsis?

<p>History of autoimmune disorders (D)</p> Signup and view all the answers

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