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Exam (elaborations)

MLS set - CSMLS EXAM QUESTIONS

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MLS set - CSMLS MLS set - CSMLS MLS set - CSMLS

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  • September 10, 2024
  • 58
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • MLS set - CSMLS
  • MLS set - CSMLS
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Josephk
MLS set - CSMLS
Which bleeding disorder is an inherited lack of fibrinogen, often diagnosed by umbilical bleeding?
(TT, PT, and APTT all increased) - verified answer Afibrinogenemia



What is the factor name of HMWK? - verified answer Fitzgerald factor



What is the factor name of prekallikrein? - verified answer Fletcher factor



What is the name of factor XIII? - verified answer Fibrin stabilizing factor



What is the name of factor XII? - verified answer Hageman factor



What is the name of factor XI? - verified answer Plasma thromboplastin antecedent



What is the name of factor X? - verified answer Stuart-Prower factor



What is the name of factor IX? - verified answer Christmas factor



What is the name of factor VIII? - verified answer Anti-hemophilic factor



What is the name of factor VII? - verified answer Stable factor



Which factor deteriorates at RT? - verified answer Factor V



What is the name of factor V? - verified answer Labile factor



What is the name of factor IV? - verified answer Ca2+



What is the name of factor III? - verified answer Tissue thromboplastin

,What is the name of factor II? - verified answer Prothrombin



What is the name of factor I? - verified answer Fibrinogen



Which factors are consumed during clotting? - verified answer I, V, VIII, XIII



What are acquired pathologic plasma proteins - usually IgG Abs against factors - that inhibit
coagulation? - verified answer Circulating anticoagulants



A test in which abnormal patient plasma is mixed 1:1 with normal control plasma and the mixture is
used for PT/APTT tests. If the abnormal result is not corrected, a circulating anticoagulant is
detected. - verified answer 1:1 mix test



What is the critical value for INR? - verified answer >5.0



When should a patient have an APTT result that is 1.5-2x the normal value? - verified answer
Heparin therapy



Which coagulation test measures the factors of the intrinsic and common pathways and is used to
monitor patients on heparin therapy? - verified answer APTT



When should a patient have a PT result that is 1.5-2x the normal value? - verified answer Coudamin
(warfarin) therapy



Which coagulation test detects deficiencies in the extrinsic and common pathway factors and is used
to calculate INR to monitor patients on warfarin therapy? - verified answer PT



Which coagulation test measures the time required for thrombin to convert fibrinogen to fibrin? -
verified answer TT


Which coagulation test measures platelet number and function? - verified answer Bleeding time

,What is caused by arterial thrombosis in the brain? - verified answer Stroke



What is caused by arterial thrombosis in the heart? - verified answer AMI



What is caused by arterial thrombosis in the limb? - verified answer Gangrene



How does plasmin activate complement? - verified answer Cleaves C3 into C3a and C3b



What is the name of C3a? - verified answer Anaphylatoxin



What is the name of C3b? - verified answer Opsonin



What does warfarin inhibit? - verified answer Vitamin K



What is a vitamin K dependent protease inhibitor that acts as a co-factor for Protein C? - verified
answer Protein S


What is a vitamin K dependent protease inhibitor that is activated by thrombin and degrades factors
V and VIII:C? - verified answer Protein C



Which protease inhibitor is the major natural inhibitor, also called heparin co-factor because it is
greatly accelerated by heparin, and is the major inactivator of thrombin and Xa? - verified answer
Antithrombin III (ATIII)



What is the main inhibitor of plasmin and inhibits rapidly? - verified answer Alpha 2 antiplasmin



What is a plasmin inhibitor that inhibits slowly? - verified answer Alpha 2 macroglobulin



What enzyme is responsible for hydrolyzing fibrin, fibrinogen and other coagulation proteins? -
verified answer Plasmin

, What system is activated when plasminogen that is bound to fibrin is converted to plasmin by TPA? -
verified answer Fibrinolytic system


What system results in enzymatic cleavage of the fibrin clot to soluble fragments to re-establish
blood flow? - verified answer Fibrinolytic system



What factors are involved in the common pathway? - verified answer I, II, V, X



Which coagulation tests can monitor the common pathway? - verified answer PT and APTT



Which pathway begins with the activation of factor X by the intrinsic and/or extrinsic pathway? -
verified answer Common


Which portion of factor VIII is the smallest portion, called the procoagulant protein or anti-
hemophilic portion, and acts as a co-factor for factor IXa to activate factor X in the intrinsic pathway?
- verified answer VIII:C



Which portion of factor VIII is the larger portion, called the carrier portion, and is necessary for
platelet adhesion to tissue? - verified answer VWF



Activation of which factor activates the intrinsic pathway, inflammation (prekallikrein), fibrinolysis,
and complement? - verified answer XII



Which factors are needed to amplify the contact factors to speed up the intrinsic pathway? -
verified answer Fletcher and Fitzgerald


Which factors are involved in the intrinsic pathway? - verified answer XII, XI, IX, VIII, Fletcher,
Fitzgerald



Which factors are involved in the extrinsic pathway? - verified answer III, VII



High molecular weight proteins that are consumed during clotting and are acted on by thrombin to
convert fibrinogen to fibrin, includes factors I, V, VIII, and XIII - verified answer Fibrinogen proteins

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