Bleeding
Clotting
Platelets
Factors and Labs
Drugs
100

The factor that reflects adult levels at birth - factor 8 or 9.

What is factor 8?

100

Name 4 risk factors for thrombosis

Central venous access device

Inherited thrombophilia

Anatomic abnormalities 

Antiphospholipid antibody syndrome

Cancer

Inflammatory bowel disease

Nephrotic syndrome

Trauma or major surgical procedures

Pregnancy or estrogen therapy

Iron-deficiency anemia

Obesity

Immobility

Sickle cell disease

Dehydration

100

Most common cause of thrombocytopenia in children

What is viral infection?

100

Two natural anticoagulants

What are protein C and S?

100

Subcutaneous blood thinner commonly used to treat thrombosis

What is Lovenox/ Enoxaparin (LMWH)?

200

Factor deficiency (even severe) that does NOT prolong PT or PTT.

What is factor 13 deficiency?

200

Factor V Leiden is characterized by factor V resistance to inactivation by _____. 

What are protein C and S?

200

A platelet parameter on CBC that supports diagnosis of acute ITP 

What is increased MPV? 

200

Vitamin K deficiency first prolongs ____ time

What is PT?

200

Thrombophilia disorders in which warfarin should be used with caution 

What is Protein C or S deficiency?

300

This is the most common type of bleeding in hemophilia

What is hemarthrosis (joint bleeding)?

300

A 2 y.o. girl who drinks 50oz of milk daily presents with hemoglobin 2.1, MCV 55, altered mental status, and papilledema. What is the most likely complication she has developed? 

What is cerebral venous sinus thrombosis? 
300

Name two treatment options for acute ITP

Observation, steroids, IVIG, Anti-Rh immunoglobulin (RhoGAM), splenectomy

300

Screening tests for antiphospholipid syndrome

Lupus Inhibitor, Cardiolipin IgG/IgM, Beta-2-glycoprotein IgG/IgM

300

Medication that can treat both mild Hemophilia A and von Willebrand disease (type 1)

What is Desmopressin/ DDAVP (Stimate)?

400

This is the inherited coagulation disorder with 8 subtypes

What is von Willebrand disease?

400
True or false: a 16 y.o. F on an OCP who develops a lower extremity DVT after femur fracture repair should have inherited thrombophilia testing. 

False 

400

Classic triad in Wiskott-Aldrich syndrome

What is thrombocytopenia (small), eczema, and recurrent infections?

400

Tissue factor primarily activates factor ____ in the ____ pathway.  

Factor 7; Extrinsic pathway 

400

Supportive medication(s) useful for nosebleeds and heavy menses

What are Antifibrinolytics (Amicar, TXA)?

500

Most severe form of VWD

What is Type 3?

500

May-Thurner syndrome occurs in which leg?

What is the left leg? (Right common iliac artery compresses left common iliac vein). 

500
A patient with PE has been on a heparin drip for 3 days. The platelets have dropped from 200,000 to 65,000. What is the first step in management? 
Discontinue all heparin containing meds. (HIT). 
500

1:1 mixing study that does not correct with addition of normal plasma suggests what?

Presence of coagulation inhibitor

500

Eltrombopag and romiplostim bind to this receptor on megakaryocytes

What is thrombopoietin?