The patient whom you are about to treat states that he has Von Willebrand’s disease. Which one of the  following preoperative haematological analyses may reflect this disease:
A. Bleeding time and factor VIII level ptt also prolonged decreased platelet count.  B. Bleeding time and factor IX level
C. Bleeding time and factor X level
D. Platelet count  
E. Thromboplastin generation time

1 Answer

Answer :

A. Bleeding time and factor VIII level ptt also prolonged decreased platelet count

Related questions

Description : Von Willebrand disease is, A. Haemophilic disease B. Bacterial Endocarditis C. Congenital cardiac disease D. Rheumatic fever Decreased PTT, bleeding time prolonged, deficiency factor VIII

Last Answer : A. Haemophilic disease

Description : Which of the statements listed below about bleeding disorders is/are correct? A. Acquired bleeding disorders are more common than congenital defects. B. Deficiencies of vitamin K decrease production ... disorder. D. Von Willebrand's disease is a very uncommon congenital bleeding disorder.

Last Answer : Answer: AB DISCUSSION: Acquired bleeding disorders are significantly more common than congenital bleeding defects. Vitamin K deficiency may be related to malnutrition or competitive inhibition ... a relatively common disorder of bleeding and is generally undetectable by routine screening methods

Description : Which of the following statement(s) concerning laboratory studies used in monitoring a patient with intravenous heparinization is/are correct? a. The platelet count should be followed because of the ... serum creatinine should be measured daily to allow adjustments in dose based on renal function

Last Answer : Answer: a, c In monitoring the effect of heparin, an activated partial thromboplastin time (aPTT) of 1.5 control or a thrombin clotting time (TCT) of 2 times control reflects adequate ... system. Therefore the dose of heparin need not be adjusted in cases of liver or renal dysfunction

Description : Von Willebrand's disease is a common, congenital bleeding disorder. Which of the following statement(s) is/are true concerning Von Willebrand's disease? a. As in hemophilia, it is ... -treatment for elective surgery require administration of cryoprecipitate to achieve levels of 23-50% of normal

Last Answer : Answer: c, d Von Willebrand's factor is an adhesive protein that mediates platelet adhesion to collagen. In addition, it protects and prevents the rapid removal of factor VIII ... platelet aggregation responses to ristocetin. The most reliable source of Von Willebrand's factor is cryoprecipitate

Description : How do you treat a child with severe Von Willebrand’s disease:** A. Like a normal child B. Like a diabetic child C. Like a haemophilic child

Last Answer : C. Like a haemophilic child

Description : Laboratory monitoring of coagulation and anticoagulation includes testing of platelet function. Which of the following statements is/are true concerning tests of platelet function? a. A ... platelet aggregation should be part of the standard preoperative evaluation of patients using aspirin

Last Answer : Answer: a, c Tests of platelet function include peripheral platelet counts, bleeding times, and platelet aggregation. Usually, a platelet count of 50,000/mL or more ensures adequate hemostasis ... is not available in most laboratories, probably because of the observer-dependent nature of the test

Description : 12 years old child presents with symptoms of widespread gingivitis with bleeding and general malaise for several weeks. How would you manage this patient? M07 ********* A. Prescribe ... mouth wash. C. Give a prophylaxis with ultra sonic scaling D. Refer for haematological screening

Last Answer : D. Refer for haematological screening

Description : Select the action of vasopressin exerted through the V1 subtype receptors: A. Release of coagulation factor VIII and von Willebrands factor from vascular endothelium B. Increased peristalsis of gut C. Dilatation of blood vessels D. Increased water permeability of renal collecting ducts

Last Answer : B. Increased peristalsis of gut

Description : The evaluation of a patient scheduled for elective surgery should always include the following as tests of hemostasis and coagulation: A. History and physical examination. B. Complete blood count ( ... (APTT). D. Studies of platelet aggregation with adenosine diphosphate (ADP) and epinephrine.

Last Answer : Answer: A DISCUSSION: The evaluation of most patients scheduled for elective surgery who do not have a history of significant bleeding disorders is somewhat controversial. An adequate history and ... suspected of having qualitative defects of platelet function (e.g., von Willebrand's disease)

Description : Brown skin pigmentation does not occur in: A. Hyperparathyroidism B. Von Willebrand’s disease C. Addison’s desease

Last Answer : B. Von Willebrand’s disease

Description : Café au lait spots are seen in: A. Von Willebrand’s disease B. Recklinghausen C. Neurofibromatosis

Last Answer : . Recklinghausen C. Neurofibromatosis

Description : Bleeding time is increased in: a. massive blood transfusion b. vitamin K deficiency c. von Willebrand's disease d. disseminated intravascular coagulation (DIC)

Last Answer : disseminated intravascular coagulation (DIC)

Description : Choose the correct statement(s) about terlipressin: A. It is a prodrug B. It is used to control bleeding from esophageal varices C. It is preferred for controlling bleeding in von Willebrand's disease D. Both 'A' and 'B' are correct

Last Answer : D. Both 'A' and 'B' are correct

Description : A 67-year-old male with advanced cholangiocarcinoma develops gram-negative sepsis. Excessive bleeding is noted around vascular catheters and from needle puncture sites. The diagnosis of disseminated ... b. Decreased fibrinogen level c. Normal prothrombin time d. Elevated fibrin split products

Last Answer : Answer: a, b, d Disseminated intravascular coagulation (DIC) is the primary form of acute thrombosis. Causes of this syndrome include abruptio placenta, gram-positive and gram-negative sepsis, ... decline in the platelet count and fibrinogen level, along with an elevation of fibrin split products

Description : A patient with long standing rheumatoid arthritis and a history of steroid therapy presents for multiple extractions. The dentist should consult the patient's physician because: A. Patient is more ... B. Patient may have a suppressed adrenal cortex C. Patient will need haematological evaluation

Last Answer : B. Patient may have a suppressed adrenal cortex

Description : A patient who has been taking quantities of aspirin might show increased post operative bleeding because aspirin inhibits:** A. Synthesis of thromboxane A2 and prevents platelet aggregation B. ... network E. Increase the absorption of vitamin K and prevents synthesis of blood clotting factors

Last Answer : A. Synthesis of thromboxane A2 and prevents platelet aggregation

Description : Which of the following statements about the coagulation cascade is/are true? A. The intrinsic pathway of coagulation is the predominant pathway in vivo for hemostasis and coagulation. ... coagulation abnormalities. D. Deficiencies of factor XII cause severe clinical bleeding syndromes.

Last Answer : Answer: AC DISCUSSION: Although it was previously held that two somewhat distinct pathways existed for the activation of the coagulation cascade, it is now recognized that the predominant ... bleeding. This further emphasizes the secondary role that the intrinsic pathway plays in coagulation

Description : Which of the following statement(s) is/are true concerning hemophilia A? a. Hemophilia A is inherited as a sex-linked recessive deficiency of factor VIII b. A positive family history for ... platelet aggregation d. Spontaneous bleeding is unusual with factor VIII levels greater than 10% of normal

Last Answer : Answer: a, d Hemophilia A is inherited as a sex-linked recessive deficiency of factor VIII although 0% of cases are secondary to spontaneous mutation. The incidence of this abnormality is ... factor levels as low as 1% have been noted and patients are at risk for spontaneous bleeding

Description : A 65 years-old patient needs extraction of 44; he has taken insulin in the morning. What preoperative advice you should give: A. Take more sugar B. Maintain normal diet C. Antibiotic 2 hours before D. Medication increases preoperatively

Last Answer : B. Maintain normal diet

Description : Partial thromboplastin time (PTT)?

Last Answer : DefinitionPartial thromboplastin time (PTT) is a blood test that looks at how long it takes for blood to clot. It can help tell if you have bleeding or clotting problems.Alternative NamesAPTT; PTT; ... to stop taking certain drugs before the test. Drugs that can affect the results of a PTT test

Description : A patient on dicoumarol treatment needs extraction. Which of the following is MOST valuable in evaluating surgical risks: A. Clotting time B. Bleeding time C. Prothrombin time D. Sedimentation rate E. Complete blood cell count

Last Answer : C. Prothrombin time

Description : Which of the following statement(s) is/are true concerning the management of a patient with hemophilia A undergoing an elective surgical operation? a. Concentrates of factor VIII should be given ... observed e. A new recombinant preparation of factor VIII offers the advantage of being virus-free

Last Answer : Answer: b, c, e Although the half-life of factor VIII is 2.9 days in normal individuals, the half-life of factor VIII concentrates is 9 to l8 hours. Levels of 80% to ... infection in the hemophilia population. A new recombinant preparation of factor VIII offers the advantage of being virus-free

Description : The most important factor in surgical removal of impacted teeth is, A. Removal of enough bone B. Preoperative assessment C. The flap design D. The use of general anaesthetic

Last Answer : B. Preoperative assessment

Description : Which of the following statements concerning perioperative nutrition is true concerning the above-described patient? a. Since the patient's weight had been stable with no preoperative nutritional deficit ... feeding catheter should be placed at the time of surgery for postoperative enteral feeding

Last Answer : Answer: a Most patients undergoing elective operations are adequately nourished. Unless the patient has suffered significant preoperative malnutrition, characterized by weight loss greater than ... gastrointestinal surgery, this technique would not appear indicated in the patient described above

Description : Which of the following terms refers to an abnormal decrease in white blood cells, red blood cells, and platelets? a) Pancytopenia Pancytopenia may be congenital or acquired. b) Anemia ... of WBCs in circulation. d) Thrombocytopenia Thrombocytopenia refers to a lower-than-normal platelet count.

Last Answer : a) Pancytopenia Pancytopenia may be congenital or acquired.

Description : What is the characteristic feature of gingivitis in AIDS patient:**  A. Red band on the free gingiva associated with platelet.   B. Correlating with other pathogenesic lesions of AIDS and does not resolve to periodontal  conventional treatment.  C. Sever pain 

Last Answer : A. Red band on the free gingiva associated with platelet.  

Description : Hemophilia A is characterised by deficiency of Options: 1) Factor VII 2) Factor VIII 3) Factor IX 4) Factor XI

Last Answer : Correct Answer: 2) Factor VIII

Description : Mini-dose heparin has been shown to be useful in the prophylaxis of postoperative venous thrombosis. Mechanism(s) by which low-dose heparin is/are thought to protect against venous ... aggregation and subsequent platelet release action d. A mild prolongation of activated partial thromboplastin time

Last Answer : Answer: a, b, c Low-dose heparin is thought to protect against venous thrombosis through three different mechanisms. First, antithrombin III activity with its inhibition of activated Factor X is ... release reaction. The standard doses of heparin administered (5000 units bid) does not affect aPTT

Description : Which of the following statements reflect the treatment of HIV infection? a) Treatment of HIV infection for an individual patient is based on the clinical condition of the patient, CD4 T cell count level, and ... CD4+ T cells/mm3 or plasma HIV RNA levels exceeding 55,000 copies/mL (RT-PCR assay).

Last Answer : a) Treatment of HIV infection for an individual patient is based on the clinical condition of the patient, CD4 T cell count level, and HIV RNA (viral load). Although specific therapies vary, treatment of ... : the clinical condition of the patient, CD4 T cell count level, and HIV RNA (viral load).

Description : Platelets play an important role in haemostasis; which of the following describes this role? A. They convert fibrinogen to fibrin B. They agglutinate and plug small, ruptured ... thrombosis D. They supply fibrin stabilizing factors E. They supply proconvertin for thromboplastin activation

Last Answer : B. They agglutinate and plug small, ruptured vessels

Description :  Prolonged airway hyperreactivity is characteristically caused by: A. Histamine B. Prostaglandin E2 C. Platelet activating factor D. Bradykinin

Last Answer : C. Platelet activating factor

Description : Differentiate between any five of the following. (i) Artery and vein (ii) Hard water and soft water (iii) E-mail and Snail mail (iv) Apes and monkey (v) Hydrostatics and hydrodynamics (vi) Comet and ... (vii) Barrage and dam (viii) Electron and hole (ix) Isobars and isotopes (x) Autopsy and biopsy

Last Answer : Answers: (i) Artery and vein: Arteries: Muscular blood vessels that carry blood away from the heart. All arteries, with the exception of the pulmonary and umbilical arteries, carry oxygenated blood ... to determine cause of death Biopsy: Removal and study of a tissue sample for diagnostic purposes

Description : The uses of sodium/potassium iodide include the following except: A. Preoperative preparation of Grave’s disease patient B. Prophylaxis of endemic goiter C. As antiseptic D. As expectorant

Last Answer : C. As antiseptic

Description : Answer: e The role of nutritional support in the cancer patient remains an important component of overall therapy. Preoperative nutritional support should be given only to those patients who ... of bowel rest; this atrophy is not reversed by currently available total parenteral nutrition solutions

Last Answer : Which of the following hormones can be expected to be released as part of the stress response? a. Antidiuretic hormone (ADH) b. Aldosterone c. Insulin d. Epinephrine nswer: a, b, d ... This hormone has the exact opposite effect of insulin, which promotes glucose storage and uptake by the cells

Description : Patient with haemophilia presents which of the following findings:** A. Increased prothrombin time B. Increased bleeding time C. Increased clotting time

Last Answer : A. Increased prothrombin time

Description : Which of the following statements are true of the multiple organ dysfunction syndrome (MODS)? A. The two-hit model proposes that secondary MODS may be produced when even a relatively ... intensive care units has decreased owing to increased awareness, prevention, and treatment of the syndrome.

Last Answer : Answer: ABC DISCUSSION: MODS is part of a clinical continuum that begins with the systemic inflammatory response syndrome, which is the host's stress response to any major insult such ... pathogenesis of MODS, the incidence of MODS continues to increase without a significant improvement in outcome

Description : In 70 kg patient one unit of platelet concentrate should increase platelet count A. 2000 - 5000 mm3 B. 5000 - 10000 mm3 C. 10000 - 20000 mm3 D. More than 20000 mm3

Last Answer : Ans: B

Description : I have some matchsticks set up like this: I + XI = X. If you do not know Roman numerals, here is a quick starter: I=1 II=2 III=3 IV=4 V=5 VI=6 VII=7 VIII=8 IX=9 X=10 XI=11 ... are told to move the minimum number of matchsticks to make the question correct. So, how many do you have to move? -Riddles

Last Answer : Most people would get to one move at the least, but the real answer is zero moves. If you rotate the whole question around 180 degrees, it will display this: X = IX + I

Description : Consider the following table Furniture. Write SQL commands for the statements (i) to (viii) and write output for SQL queries (ix) and (x). -Technology

Last Answer : SQL commands for the given statements (i) to (viii) ;1. SELECT FCODE, NAME. PRICE FROM Furniture WHERE PRICE < 5000;2. SELECT NAME. PRICE FROM Furniture3.4. WHERE NAME LIKE %table% ;5. SELECT DISTINCT WCODE ... ;15.16. Output for SQL queries (ix) and (x)(ix)SUM(PRICE)6500(x)COUNT(DISTINCT PRICE)5

Description : Cold conc. `HNO_(3)` will completely dissolve: (i) Pb (ii) `Pb_(3)O_(4)` (iii) Fe (iv) Sn (v) Mg (vi) MgO (vii) Hg (viii) Au (ix) Ag (x) Pt

Last Answer : Cold conc. `HNO_(3)` will completely dissolve: (i) Pb (ii) `Pb_(3)O_(4)` (iii) Fe (iv) Sn (v) Mg (vi) MgO (vii) Hg (viii) Au (ix) Ag (x) Pt

Description : Cold conc. `HNO_(3)` will completely dissolve: (i) Pb (ii) `Pb_(3)O_(4)` (iii) Fe (iv) Sn (v) Mg (vi) MgO (vii) Hg (viii) Au (ix) Ag (x) Pt

Last Answer : Cold conc. `HNO_(3)` will completely dissolve: (i) Pb (ii) `Pb_(3)O_(4)` (iii) Fe (iv) Sn (v) Mg (vi) MgO (vii) Hg (viii) Au (ix) Ag (x) Pt

Description : Name the quantities which are measured by the following units. (i) Newton (ii) Joule (iii) Watt (iv) Volt (v) Light year (vi) Angstrom (vii) Acre-foot (viii) Becquerel (ix) Hertz (x) Cusec

Last Answer : Answers: (i) Force (ii) Work Energy (iii) Power of electricity (iv) Potential difference (v) Distance of stars and planets (vi) Length (vii) Volume (viii) Radioactivity (ix) Frequency (x) Rate of flow of water

Description : Which quantity do the following units measure: (i) Volt (ii) Coulomb (iii) Walt (iv) Ohm (v) Mho (vi) Ampere (vii) Dyne (viii) Celsius (ix) Joule (x) Calorie

Last Answer : Answers: (i) Voltage (ii) Charge of Electricity (iii) Power (iv) Resistance (v) Conductivity (vi) Current (vii) Force (viii) Temperature (ix) Energy (x) Heat

Description : Which of the following cranial nerves can regulate heart beat? (a) X (b) IX (c) VIII (d) VII

Last Answer : a) X

Description :  A company has to choose between two projects whose cash flows are as indicated  below; Project 1:  i. Investment - Rs. 15 Lakhs ii. Annual cost savings - Rs. 4 lakhs. iii. Bi-annual ... years xii. Salvage Value- 2 lakhs Which project should the company choose? The annual discount rate is 12

Last Answer : Year Project 1 Project 2 Outgo Saving NPV Outgo Saving NPV 0 15.0 0 =-15.0 14.0 0 = -14 1 0 4.0 = (4 / (1+.12)1 = 3.571 0.2 3.5 = (3.3 / (1+.12)1 = 2.95 2 0.5 4.0 = (3.5 / (1+.12)2 = 2.79 0.2 3.5 ... (1+.12)8 = 3.43 0.2 5.5  (3.5+2) = (5.3 / (1+.12)8 = 2.14 NPV = + 2.301 @12% = + 0.15

Description : Which of the following is the best evidence that a previous periodontal treatment is successful? A. The patient keeps a 3 month recall appointment B. There is no extrinsic stain C. The patient demonstrates good understanding of brushing and flossing techniques D. There is no bleeding on probing

Last Answer : D. There is no bleeding on probing

Description : One of the practical applications of genetic engineering is the bacterial production of ____. a. human insulin. b. human growth hormone c. blood clotting factors VIII and IX d. antiviral proteins e. all of the above

Last Answer : c. blood clotting factors VIII and IX

Description : Low doses of heparin prolong: A. Bleeding time B. Activated partial thromboplastin time C. Prothrombin time D. Both ‘B’ and ‘C’

Last Answer : B. Activated partial thromboplastin time

Description : Which of the following is TRUE in regard to high risk patient?** A. 0.1ml of blood from Hepatitis B carrier is less infective than 0.1ml of blood from HIV patient B. 0.1ml of blood from ... B patient E. The presence of Hepatitis B core Antigen in the blood means that active disease is not present

Last Answer : B carrier is more infective than 0.1ml of blood from HIV patient C. Level of virus are similar in the blood and saliva of HIV patient

Description : Which of the following is NOT CHARACTERISTIC of trigeminal neuralgia?** A. The pain usually last for few seconds up to a minute in the early stages of the disease B. The pain is usually ... of the forehead E. It is a paroxysmal in nature and may respond to the treatment with Carbamazepine

Last Answer : D. An attack of pain is usually preceded by sweating in the region of the forehead