Friday, April 10, 2009

Haemato Patho Quiz (Dr Sri Kumar)

Platelets, bleeding & clotting disorders, Blood Transfusion

  1. What is the normal lifespan of human platelets? Ans: 9~12 days
  2. The best laboratory investigation that measures the intrinsic system's factors VIII, IX,XI and XII. Ans: The Activated Partial Thromboplastin Time (APTT)
  3. Passage of IgG antibodies from the maternal circulation across the placental barrier into the foetal circulation. Here they react with and damage foetal red cells. What is this condition? Ans: Haemolytic Disease of the Newborn (HDN)
  4. In this disorder abnormal platelet function is associated with low factor VIII clotting activity. Ans: Von Willebrand's disease
  5. The Direct Coomb's test is used for diagnosing which clinical conditions? Ans: Haemolytic disease of the newborn, Auto-immune haemolytic anaemia, Drug induced immune haemolytic anemia and haemolytic transfusion reactions.
  6. Platelets release the contents of their granules on exposure to collagen or thrombin. The contents of the granules are.. Ans: ADP, Serotonin, Fibrinogen, Lysozomal enzymes and Platelet factor 4.
  7. Donated blood is mandatorily tested for which comminicable infective disease? Ans: Anti-HIV, HBsAg, Anti HCV, Syphilis, malaria/ filariasis.
  8. The disease that occurs due to either deficiency or abnormal function of factor IX. Ans: Christmas Disease (Haemophilia- B)
  9. What is the Blood Group of the mother that causes HDN? Ans: Mother is Rh -ve and has high plasma titre of anti-D
  10. What is the storage temperature and lifespan for platelet concentrate? Ans: 22'C in platelet aigitator for 5 days.
  11. A man with blood group A marries a woman whose blood group is B. What are the likely blood groups that the child born to them have? Ans: AB, A, B or O.
  12. NAme the clotting factors that require Vit K for synthesis. Ans: Factors II, VII, IX, X
  13. In this disease, the platelets get trapped in microcirculation and the number of circulating platelets get consumed. Subsequently there is ischaemic organ damage, mainly the kidney and brain. Ans: Disseminated Intravascular Coagulation.

* The above questions and answers are provided by Dr Srikumar. Any enquiries please contact him at his faculty zone. Thanks!

regards

korwoi