Pathology EMQ template.

Name: Chris Couzens

Candidate number:

Theme: Coagulation

OPTION LIST

A	ADP	I	Tissue Factor
B	Factor II	J	Vitamin K
C	Factor VII	K	Von Wilibrand Factor
D	Factor VIII	L
E	Plasminogen	M
F	Protein C	N
G	Protein S	O
H	Prothrombin	P

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. A 69 year old lady suffering from Atrial Fibrillation is found on a routine check up to have an INR of 8.2, she is not bleeding. After stopping her Warfarin, what would you consider treating her with?

2. A young girl presents to clinic with a history of easy bruising, epistaxis and bleeding gums. What deficiency is she likely to suffer from?

3. After a fall at home a 4 year old boy presents with a head wound that continues to bleed after an hour. Investigations show a prolonged APTT, but normal PT and bleeding time. What deficiency is he likely to suffer from?

4. This is released from granules within platelets, and acts with Thromboxane in the aggregation of platelets.

5. After an injury to the vessel wall, this pro-thrombotic compound is released.

ANSWERS

1. J

2. K

3. D

4. A

5. I