HEME00 - Coagulation rotation exam

  1. The anticoagulant of choice for most routine coagulation studies is:




    A)  Sodium citrate
  2. If a clot is incubated at 37 degrees C. and dissolves within 24 hours, which of the following should be suspected?




    D)  fibrinolysins
  3. Coagulation factors affected by coumarin drugs are:




    D)  II, VII, IX, and X
  4. Which one of the following statements concerning vitamin K is NOT true?




    A)  Heparin inhibits the action of vitamin K
  5. The following data were obtained on a patient: PT 20 seconds, APTT 55 seconds, APTT plus aged serum corrected. APTT plus adsorbed plasma not corrected. Circulatory inhibitor not present. Which of the following coagulation factors is deficient?




    C)  Factor X
  6. A coagulation factor synthesized in the liver and vitamin K dependent is:




    A)  prothrombin
  7. When performing platelet aggregation studies which set of platelet aggregation responses would most likely occur in a patient with Bernard Soulier syndrome?




    C)  Normal platelet aggregation to collagen, ADP and epinephrine; decreased to ristocetin
  8. Which of the following is most commonly associated with activated protein C resistance (APCR)?




    B)  thrombosis
  9. Factor XII deficiency is associated with:




    C)  Increased risk of thrombosis.
  10. The following factors are measured by either the PT or the aPTT except:




    B)  Factor XIII
  11. A modification of which procedure can be used to quantitatively measure fibrinogen?




    A)  Thrombin Time
  12. Aspirin prevents platelet aggregation by inhibiting the action of which enzyme?




    D)  cyclooxygenase
  13. which test results is anticipated to be normal in a patient with dysfibrinogenemia




    D)  Immunologic fibrinogen level
  14. When a sample has been flagged as being icteric by an automated coagulation analyzed, which of the following methodologies would be most susceptible to erroneous results due to the interfering substance?




    A)  Photo-optical clot detection
  15. Which ratio of anticoagulant to blood is correct for coagulation procedures?




    D) 1:9
  16. What adjustments should be made when a patient with polycythemia vera is drawn for coagulation studies




    B)  Plasma should be drawn into a syringe with less citrate than the whole blood volume would ordinarily require.
  17. What reagents are used in the PT test?




    B)  Thromboplastin and calcium
  18. Which test would be abnormal in a patient with factor IX deficiency?




    B)  APTT only
  19. Which test would be abnormal in a patient taking excess amount of coumadin?




    D)  PT only
  20. Which clotting factor is not measured by PT and APTT tests?




    C)  Factor XIII
  21. Which of the following can be modified to quantitatively measure fibrinogen levels?




    B)  Thrombin time
  22. Which coagulation tests would be abnormal in a vitamin K deficient patient?




    D)  PT and APTT
  23. Which of the following is referred to as an endogenous activator of plasminogen?




    B)  Tissue plasminogen activator
  24. A standard 4.5 ml blue top tube is filled with 3.0ml of blood and submitted for PT and APTT tests. The sample is from a patient undergoing surgery the following morning for a tonsillectomy. Which of the following is the necessary course of action by the CLS?




    A)  Reject the sample and request a new sample
  25. Which of the following statements is correct regarding sample storage for the prothrombin time test?




    D)  Stable for 24 hours if the sample is capped
  26. Normal platelet adhesion depends on:




    B)  Glycoprotein Ib
  27. Bernard Soulier syndrome is associated with:




    D)  Thrombocytopenia and giant platelets
  28. Which of the following is characteristic of acute idiopathic thrombocytopenic purpura?




    A)  Spontaneous remission within a few weeks
  29. Storage pool deficiencies are defects of:




    C)  Platelet granules
  30. Which defect characterizes Gray Platelet syndrome?




    C)  Alpha granule defect
Author
victimsofadown
ID
327348
Card Set
HEME00 - Coagulation rotation exam
Description
HEME00 - Coagulation rotation exam
Updated