Disorders of Primary Hemostasis

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1
Alternative name for Hereditary Hemorrhagic Telangiectasia is
Rendu-Osler-Weber Syndrome
2
Classification of Hereditary Hemorrhagic Telangiectasia among vascular bleeding conditions is
Most common inherited vascular bleeding disorder
3
Structural abnormality characteristic of Hereditary Hemorrhagic Telangiectasia involves
Dilatation of capillary walls
4
Alternative name for Ehlers-Danlos Syndrome is
Cutis Hyperelastica
5
Clinical manifestations associated with Ehlers-Danlos Syndrome include
Hyperextensible skin, hypermobile joints, joint laxity, fragile tissues, subcutaneous hematoma formation
6
Alternative names for Henoch-Schonlein Purpura are
Allergic Purpura or Nonthrombocytopenic Purpura
7
Patient population in which Henoch-Schonlein Purpura is most commonly seen is
Children
8
Primary etiology of vascular abnormalities in Henoch-Schonlein Purpura is
Immunologic damage to endothelial cells
9
Key symptoms characterizing Henoch-Schonlein Purpura include
Gastrointestinal hemorrhage and joint swelling
10
Alternative name for Scurvy is
Ascorbic acid (Vitamin C) deficiency
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Defect characterizing Scurvy involves
Defects in the synthesis of collagen and hyaluronic acid
12
Definition of thrombocytopenia is
Decreased platelet count
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Examples of conditions with impaired or decreased platelet production include
Bernard-Soulier syndrome, Fanconi anemia, TAR syndrome, viral infections, leukemia, megaloblastic anemias, WAS (Wiskott-Aldrich syndrome), MYH9 gene mutations
14
Full name for TAR syndrome is
Thrombocytopenia with Absent Radius syndrome
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Example of MYH9 gene mutation condition is
May-Hegglin Anomaly
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Examples of conditions with increased platelet destruction include
HUS, DIC, ITP, TTP
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Full name for HUS is
Hemolytic uremic syndrome
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Full name for DIC is
Disseminated intravascular coagulation
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Full name for ITP is
Immune thrombocytopenic purpura
20
Full name for TTP is
Thrombotic thrombocytopenic purpura
21
Full name for HIT is
Heparin-induced thrombocytopenia
22
Examples of conditions associated with increased splenic sequestration include
Gaucher disease, Hodgkin's disease, Sarcoidosis, Lymphoma, Cirrhosis of the liver, Portal hypertension
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Definition of thrombocytosis is
Increased platelet count
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Alternative name for Reactive Thrombocytosis is
Secondary thrombocytosis
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Core characteristic of Reactive Thrombocytosis is
Moderate increase in platelet count
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Examples of associated cases in Reactive Thrombocytosis include
Recovery from splenectomy, acute blood loss, major surgery
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Alternative name for Autonomous Thrombocytosis is
Primary thrombocytosis
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Core characteristic of Autonomous Thrombocytosis is
Marked increase in platelet count
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Examples of associated cases under Autonomous Thrombocytosis / MPNs include
Essential thrombocythemia, CML, Polycythemia vera, Primary myelofibrosis
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General definition of Myeloproliferative Neoplasms (MPNs) is
Group of malignant neoplasms described as clonal proliferations of bone marrow stem cells characterized by elevations in one or more myeloid cell types in peripheral blood
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Key characteristics of Essential Thrombocythemia include
Uncontrolled proliferation of bone marrow megakaryocytes with platelet count exceeding 1 million/µL
32
Deficiency responsible for Bernard-Soulier Syndrome (BSS) is
GP Ib/IX/V
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Inheritance pattern of Bernard-Soulier Syndrome is
Autosomal recessive (AR)
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Features associated with Bernard-Soulier Syndrome include
Decreased platelet count, giant platelets, normal aggregation in ADP, abnormal aggregation in Ristocetin
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Key components important in platelet adhesion process are
GP Ib/IX/V (surface receptor) and VWF
36
Definition of platelet adhesion is
Process wherein platelets adhere to a foreign surface
37
Most common congenital bleeding disorder is
von Willebrand's Disease (vWD)
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General description of von Willebrand's Disease involves
Decreased Factor VIII, normal PT, prolonged APTT, abnormal aggregation with Ristocetin
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Bleeding time, bleeding tendency, and petechiae in Type I vWD are
Bleeding time normal or increased, mild bleeding tendency, no petechiae
40
Bleeding time, bleeding tendency, and petechiae in Type II vWD are
Bleeding time increased, moderate bleeding tendency, usually no petechiae
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Bleeding time, bleeding tendency, and petechiae in Type III vWD are
Bleeding time increased, often severe bleeding tendency, occasionally petechiae
42
Deficiency responsible for Glanzmann's thrombasthenia is
GP IIb/IIIa
43
Features associated with Glanzmann's thrombasthenia include
Very prolonged bleeding time, abnormal clot retraction, abnormal aggregation response in ADP, normal aggregation response in Ristocetin
44
Inheritance condition characterized by absence of fibrinogen is
Hereditary afibrinogenemia
45
Definition of platelet aggregation is
Process wherein platelets adhere to other platelets
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Key components important in platelet aggregation process are
GP IIb/IIIa and Fibrinogen
47
Examples of platelet secretion disorders include
Thromboxane pathway disorders and Storage pool diseases
48
Deficiencies categorized under thromboxane pathway disorders are
Cyclooxygenase or thromboxane synthetase deficiency
49
Two categories of storage pool diseases are
Alpha and Dense Granule Deficiencies
50
Inheritance pattern of Gray Platelet Syndrome is
Autosomal recessive (AR)
51
Specific structural absence in Gray Platelet Syndrome is
Absence of morphologically recognizable α-granules in thrombocytes
52
Clinical and laboratory characteristics of Gray Platelet Syndrome include
Lifelong mild bleeding tendencies, moderate thrombocytopenia, fibrosis of the marrow, large gray platelets, increased plasma levels of PF-4 and β-thromboglobulin
53
Inheritance pattern of Quebec platelet disorder is
Autosomal dominant (AD)
54
Cause of Quebec platelet disorder is
Deficiency of multimerin (a protein stored in α-granules)
55
Albinism presentation and platelet count in Hermansky-Pudlak syndrome are
Oculocutaneous albinism and normal platelet count
56
Albinism presentation and platelet count in Chediak-Higashi syndrome are
Partial albinism and low platelet count
57
Albinism presentation and platelet count in Wiskott-Aldrich syndrome are
No albinism and low platelet count
58
Albinism presentation and platelet count in TAR syndrome are
No albinism and normal platelet count
59
Inheritance pattern rule for dense granule deficiencies is
Autosomal Recessive (AR), except for Wiskott-Aldrich syndrome
60
Most common acquired bleeding disorder is
Trauma-induced coagulopathy
61
Inheritance pattern of Glanzmann's thrombasthenia is
Rare autosomal recessive disorder
62
Comparative frequency of Glanzmann's thrombasthenia to BSS is
Occurs with lesser frequency than BSS
63
Clot retraction in Glanzmann's thrombasthenia demonstrates
Abnormal clot retraction
64
Platelet count and morphology in Glanzmann's thrombasthenia are
Normal platelet count and normal platelet morphology
65
Expected bleeding time result in a patient with Glanzmann's thrombasthenia is
Prolonged bleeding time result
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