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Factor Fiction
Plate It Safe
Patient Puzzler
Spot the copycat
100

Test that can be prolonged in von Willebrand disease but normal in ITP.

What is PTT?

100

von Willebrand factor carries and stabilizes this clotting factor.

What is Factor VIII?

100

Autoimmune destruction of platelets mediated by anti-GPIIb/IIIa antibodies.

What is ITP?

100

6-year-old post-viral infection with petechiae, isolated thrombocytopenia, normal PT/PTT.

What is ITP

100

Platelet sequestration from splenomegaly can mimic thrombocytopenia.

What is hypersplenism?

200

Platelet count in TTP is typically…

What is low?

200

This is the central step in the coagulation cascade, converting prothrombin to thrombin.

What is activation of Factor X to Xa?

200

ADAMTS13 deficiency causing platelet-rich microthrombi.

What is TTP?
200

Young woman with fever, neurologic changes, thrombocytopenia, and renal dysfunction.

What is TTP

200

Hemolytic anemia, thrombocytopenia, and renal failure in a child post-E. coli O157:H7 infection.

What is HUS?

300

Lab finding that differentiates ITP from TTP or DIC in terms of coagulation studies.

What is normal PT & PTT in ITP?

300

The vitamin essential for gamma-carboxylation of factors II, VII, IX, and X; It is also given to newborns supplementally

What is vitamin K?

300

Widespread microthrombi with consumption of platelets and coagulation factors in sepsis or trauma.

What is DIC?

300

Trauma patient with oozing from IV sites, prolonged PT/PTT, low fibrinogen, elevated D-dimer.

What is DIC?

300

Prolonged bleeding time with normal platelet count and coagulation studies, suggests this is a connective tissue disorder rather than a platelet defect.

What is Ehlers-Danlos syndrome?

400

Platelet count below 50,000

What is Thrombocytopenia

400

This test measures the extrinsic and common pathways, and is prolonged in vitamin K deficiency.

What is PT / INR?

400

Inherited defect in GPIb leading to defective platelet adhesion and giant platelets.

What is Bernard-Soulier syndrome?

400

Newborn with mucocutaneous bleeding, giant platelets, absent aggregation with ristocetin.

What is Bernard-Soulier syndrome?

400

Purpura and low platelets in a child with recent parvovirus B19 infection may mimic ITP, but is actually this bone marrow condition.

What is transient aplastic crisis?

500

Gold standard test to confirm Glanzmann thrombasthenia.

What is platelet aggregation study showing absent aggregation with all agonists except ristocetin?

500

In DIC, this coagulation factor is decreased along with platelets and elevated D-dimer.

What is fibrinogen?

500

Inherited defect in GPIIb/IIIa leading to impaired platelet aggregation.

What is Glanzmann thrombasthenia?

500

A neonate presents with severe intracranial hemorrhage, prolonged PT, prolonged PTT, undetectable Factor V levels, normal platelet count, and normal fibrinogen.

What is congenital Factor V deficiency?

500

The triad of thrombocytopenia, eczema, and recurrent infections is seen in this X-linked syndrome.

Wiskott-Aldrich syndrome?