5.1 Lab Ealuation of Primary Hemostasis Flashcards

1
Q

On the average, if platelet cpunt is normal, there is at least 1 platelet in _______ RBCs or approx. ______ platelets per OIF

A

10-30

8-20

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2
Q

Specimen for enumeration of platelet?

A

Venous blood is preferred (EDTA)

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3
Q

Review of peripheral blood smear is advantageous in some points in detecting causes of low counts but it is not the preferred method for routine plt counts such as

  • artificial due to clumping
  • clotted specimen
  • Giant platelets

T or F

A

T

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4
Q

Due to platelets clumps: In the machine this may cause:

Falsely ______ Platelet ct
Falsely ______ WBC ct

A

Decrease

Increase

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5
Q

If giant platelet is seen, Manual count is done

T or F

A

T

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6
Q

Manual platelet Count:
- Direct Method

Preferred method of microscopy

A

Phase contrast microscopy

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7
Q

Diluting fluid in phase-contrast microscopy?

A

Brecher-Cronkite method (1% ammonium oxalate

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8
Q

Manual platelet Count:
- Direct Method
- Lightmicroscope

What is the method and diluting fluid?

A

Rees-Exker method: Citrate-formaldehyde buffer with Brilliant Cresyl Blue

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9
Q

In light microscope, platelets appear refractile and bluish with BCB

T or F

A

T

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10
Q

In direct method: Platelets are counted in central small squares of Neubauer chamber

T or F

A

T

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11
Q

Indirect method:

Platelets estimation in peripheral smear using what Field?

A

OIO

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12
Q

Fator used in Indirect method?

A

20,000

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13
Q

In Indirect method:

Normally,________/ OIF are seen in healthy indiv.

A

8-20

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14
Q

Automated Platelet count
- Detect electrical resistance when particles stream through an aperture tube

A

Electrical impedance

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15
Q

Direct method uses Counting chamber
Indirect Method uses Blood smear

T or F

A

T

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16
Q

Indirect method is only use to verfy the analyzer

T or F

A

T

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17
Q

Automated Platelet count
- Particles that are in the range of 2-20 fL are counted as platelets

T or F

A

T

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18
Q

MPV is between 8-10 fL

T or F

A

T

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19
Q

Automated Platelet count:

Hemolysis

a. Spurious increase
b. Spurious decrease

A

a

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20
Q

Automated Platelet count:

Clotting

a. Spurious increase
b. Spurious decrease

A

b

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21
Q

Automated Platelet count:

Microsytic RBCs

a. Spurious increase
b. Spurious decrease

A

a

22
Q

Automated Platelet count:

Red cell inclusions

a. Spurious increase
b. Spurious decrease

A

a

23
Q

Automated Platelet count:

Giant platelets

a. Spurious increase
b. Spurious decrease

A

b

24
Q

Automated Platelet count:

Clumping, agglutinins

a. Spurious increase
b. Spurious decrease

A

b

25
Q

Automated Platelet count:

RBC and WBC fragment

a. Spurious increase
b. Spurious decrease

A

a

26
Q

Automated Platelet count:

Platelet satellitosis

a. Spurious increase
b. Spurious decrease

A

b

27
Q

Resolution for platelet satellitosis?

A

Change anticoag to citrate

28
Q

Time it takes for a standard wound t stop bleeding

A

Bleeding time

29
Q

Bleeding time evaluates All aspect of:
- Platelet count
- Platelet function
- Blood vessel integrity

Which of it does not belong

A

None

30
Q

Global test for adequacy of primary hemostasis

A

Bleeding time

31
Q

Bleeding time first described by ______ in 1912 and modified by ____in 1941

A

Duke

Ivy

32
Q

In 1969, Mielke Attemted to standardized the bleeding time by specifying a lancet that used a template to establish incision depth and applying a BP cuff inflated to 40 mmHG to upper arm

T or F

A

T

33
Q

Standardized cut is made in ______ surface

A

volar

34
Q

Blot blood every ____ seconds till it stops

A

30

35
Q

Ref method for Bleeding time?

A

2-9 mins

36
Q

Process by which the volume of of a formed clot is reduced through contraction of the intracellular actin-myosin cytoskeleton of activated platelets

A

Clot retraction test

37
Q

When Blood coagulation is complete, clot normally retracts

T or F

A

T

38
Q

Normal clot retraction requires:

  • Normal Platelet cout and function
  • Normal ATP, calcium, fibrinogen, gb _____
A

IIb/IIIa

39
Q

Clot retraction procedure:
- Fresh whole blood is placed in a 37C water bath
- Inspect at 1,2,4,and 24 hours clot retraction
- Normal Value: ______ hours

A

2 - 4

40
Q

Marker of capillary fragility ?

A

Tourniquet test

41
Q

Tourniquet test is also known as

A

Rumpel-leede test

42
Q

Can be used as a triage tool to differential patients with acute gastroenteritis, from those with dengue

A

Rumpel-Leede test

43
Q

Procedure for Tourniquet test:
- Take patient’s Blood pressure and record it
- Inflate the cuff at _______mmHg to a point __way between SBP and DBP and maintain for 5 minutes
- Reduce and wait 2 minutes
- COunt petechiae below ________ fossa
- A positive test is ____ or more petechiae per 1 square inch

A

85

Mid

Antecubital

10

44
Q

Decrease platelet count = __________ Petechiae

A

Increased

45
Q

Platelet Aggregometry:

Anticoagulant?

A

Sodium Citrate

46
Q

Platelet Aggregometry:

Specimen ?

A

Plt-rich plasma or whole blood

47
Q

Platelet Aggregometry:

Reagent?

A

Agonist

48
Q

This are substances that induce aggregation

A

Agonist

49
Q

Platelet Aggregometry:

Instrument: Light-transmittance aggregometer
Principle: Change in ____________

A

Optical density

50
Q

Platelet Aggregometry:

Result: __% platelet aggregation is considered lower limit or normal

A

40

51
Q

Response to Epinephrine, ADP, Collagen:
- Normal Agg

Response to Ristocetin: Defective Agg

a. Bernard-Soulier syndrome
b. vW Disease
c. Glanzmann’s thrombastenia

A

a b

52
Q

Response to Epinephrine, ADP, Collagen:
- Defective Agg

Response to Ristocetin: Normal Agg

a. Bernard-Soulier syndrome
b. vW Disease
c. Glanzmann’s thrombastenia

A

c