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Hematology Internship Section 3
Coagulation/Hemostasis Coagulation Tests. Page 96
36
Biology
Undergraduate 4
10/14/2015

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Term
Given the Principle, Name the Coagulation Test:

Plasma mixed with rabbit thromboplastin (Factor III) containing Ca+2; Time to form clot is measured by light sensing or mechanical methods
Definition
Prothrombin Time (Also Called Protime or PT)
Term
Given the Principle, Name the Coagulation Test:

Patient plasma mixed with commercial phospholipid substitute and activator of factor XII (actin) plus Ca+2. Time to clot measured by light or mechanical methods
Definition
PTT or APTT (A.K.A. Activated Partial Thromboplastin Time)
Term
Given the Principle, Name the Coagulation Test:

Patient plasma mixed with thrombin. Time to clot is measured.
Definition
Thrombin Time (TT) or Thrombin Clotting Time
Term
Given the Principle, Name the Coagulation Test:

This snake venom converts fibrinogen to fibrin without thrombin
Definition
Reptilase Time (Variant of the TT)
Term
What is the reference range for PT?
Definition
9-12.5 seconds
*All reference ranges vary by lab and reagents used
Term
What is the reference range for PTT/APTT?
Definition
20-35 seconds
*Therapeutic about 1.5-2 times patient's baseline
Term
What is the reference range for TT & is also the reference range for Reptilase Time?
Definition
Less than 20 seconds
Term
Given the reference range, what is the Coagulation test associated with it?

9-12.5 seconds
*All reference ranges vary by lab and reagents used
Definition
PT
Term
Given the reference range, what is the Coagulation test associated with it?

20-35 seconds
*Therapeutic about 1.5-2 times patient's baseline
Definition
PTT
Term
Given the reference range, what is the Coagulation test associated with it?

Less than 20 seconds
Definition
TT & Reptilase Time
Term
What factors are measured by the following coagulation tests:

PT
Definition
I, II, V, VII, X
Term
What factors are measured by the following coagulation tests:

PTT
Definition
Measures all factors EXCEPT VII & XIII
Term
What factors are measured by the following coagulation tests:

Thrombin Time (TT)
Definition
Measures only the conversion of fibrinogen to fibrin
Term
What factors are measured by the following coagulation tests:

Reptilase Time
Definition
Measures only the conversion of fibrinogen to fibrin but is NOT affected by heparin
Term
Name the test that measures the following factors:

I, II, V, VII, X
Definition
PT
Term
Name the test that measures the following factors:

Measures all factors EXCEPT VII & XIII
Definition
PTT
Term
Name the test that measures the following factors:

Measures only the conversion of fibrinogen to fibrin
Definition
Thrombin Time (TT)
Term
Name the test that measures the following factors:

Measures only the conversion of fibrinogen to fibrin but is NOT affected by heparin
Definition
Reptilase Time
Term
Given the Disease(s) Detected, What is the Coagulation Test associated with it/them:

Coumadin therapy; liver disease; Vitamin K deficiency; DIC; EXTRINSIC factor deficiencies
Definition
Prothrombin Time (PT)
Term
Given the Disease(s) Detected, What is the Coagulation Test associated with it/them:

INTRINSIC factor deficiencies, monitor heparin, DIC, Circulatin anticoagulants (lupus anticoagulants)
Definition
PTT / APTT
Term
Given the Disease(s) Detected, What is the Coagulation Test associated with it/them:

Elevated in hypo or dysfibrinogenemia. INCREASED in presence of FSP such as in DIC, if Heparin is present, or in Prothrombin Deficiencies
Definition
Thrombin Time (TT)
Term
Given the Disease(s) Detected, What is the Coagulation Test associated with it/them:

Used to pinpoint the reason for an INCREASED TT.
Definition
Reptilase Test
Term
If the Reptilase Test is NORMAL and the Thrombin Time is INCREASED, what is present?
Definition
Heparin
Term
If the Reptilase Test & the Thrombin Time are INCREASED, what 2 things may be present?
Definition
INCRASED FSP (DIC) or Hypofibrinogenemia
Term
Given the Coagulation Test, what disease(s) may be detected?

PT
Definition
Coumadin therapy; liver disease; Vitamin K deficiency; DIC; EXTRINSIC factor deficiencies
Term
Given the Coagulation Test, what disease(s) may be detected?

PT / APTT
Definition
INTRINSIC factor deficiencies, monitor heparin, DIC, Circulatin anticoagulants (lupus anticoagulants)
Term
Given the Coagulation Test, what disease(s) may be detected?

TT
Definition
Elevated in hypo or dysfibrinogenemia. INCREASED in presence of FSP such as in DIC, if Heparin is present, or in Prothrombin Deficiencies
Term
Given the Coagulation Test, what disease(s) may be detected?

Reptilase Test
Definition
Used to pinpoint the reason for an INCREASED TT.
Term
Which Test is MOSTLY used to Monitor Coumadin?
Definition
PT
Term
True or False:
INR is used to monitor Coumadin AND You should report PT in seconds for other uses
Definition
True
Term
True or False:
Heparin will also slightly INCREASE the PT
Definition
True
Term
True or False:
Coumadin will also slightly INCREASE the PTT
Definition
True
Term
True or False:
Coumadin will NOT slightly INCREASE the PTT
Definition
False
Term
True or False:
Heparin will NOT slightly INCREASE the PT
Definition
False
Term
True or False:
While the TT is INCREASED with Heparin Therapy, it is TOO Sensitive to Heparin to routinely monitor it
Definition
True
Term
Why do we not use TT to routinely monitor Heparin Therapy even though it is INCREASED with Heparin Therapy?
Definition
It is TOO Sensitive to Heparin to routinely monitor it.
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