Pathology EMQ template.

Name: Nathan Cohen

Candidate number:

Theme: Coagulation

OPTION LIST

A	Vitamin K Deficiency	I	vWF Defieciency
B	Prothrombin
C	TTP
D	Protein C
E	DIC
F	Haemophilia A
G	Thrombin
H	Protein S

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. Mr. GK, a local drunk, presents to the Emergency Department following an accident at Fez. An increased Activated Partial Thromboplastin Time (aPTT) and

Prothrombin Time (PT) is found.

2. Which important protein in haemostasis, is not a serine protease but is vitamin K dependent?

3. A 7 year old boy presents with a painful left elbow after a fall. Evaluation reveals a hemarthrosis. PT normal, an aPTT prolonged.

4. This inactivates coagulation factors VIIIa and Va.

5. A 22 year old gentleman is about to have an arthroscopy. During routine peri-operative investigation, he has found to have an increased bleeding time, a prolonged aPPT and a normal PT.

ANSWERS

1. A

2. H

3. F

4. D

5. I