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</p> Signup and view all the answers

    Which anticoagulant drug directly inhibits thrombin?

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

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

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

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

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

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

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

    What is the most common origin of pulmonary embolism?

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

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

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

    What is the dominant histologic characteristic of infarction morphology?

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

    What percentage of systemic emboli arise from intracardiac mural thrombi?

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

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

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

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

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

    What is the mortality rate associated with sepsis and shock?

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

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

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

    Which population group is most commonly impacted by septic emboli?

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

    Which physiological change in pregnancy can mimic SIRS criteria?

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

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

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

    What is the morphological characteristic of gross infarcts?

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

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

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

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

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

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

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

    What is the most common cause of pulmonary embolism?

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

    Which type of PE causes pulmonary hemorrhage or pulmonary infarction?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    What is a common cause of maternal mortality in pregnancy?

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

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

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

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

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

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