Questions OptionsWhat is the expected fibrinogen increase with a dose of 10 units of cryoprecipitate in an adult (or 1 unit per 5-10 kg/body weight in a child)?0.1 g/L0.5 g/L1.0 g/L1.5 g/L2.0 g/LA 33 year old male has been diagnosed with acute myeloid leukemia. He is not bleeding. He has no fever. The INR, PTT and fibrinogen levels are normal. At what platelet count would you provide a prophylactic platelet transfusion?< 5 x 109/L< 10 x 109/L< 15 x 109/L< 20 x 109/L< 25 x 109/LA 65 year old male has mesenteric bowel ischemia and requires urgent laparotomy and major surgery. At what platelet count would you provide a platelet transfusion pre-operatively?< 10 x 109/L< 25 x 109/L< 50 x 109/L< 75 x 109/L< 100 x 109/LWhich of the following is true about vitamin K?Anaphylactic reactions are common with intravenous vitamin KIntravenous works more quickly than oralOral works as quickly as intravenousSubcutaneous works more quickly than oralBy how much will the transfusion of 1 unit of RBC in a 70kg non-bleeding adult increase the hemoglobin?3 g/L5 g/L10 g/L20 g/L40 g/LA patient has a positive antibody screen. Further investigation shows that the antibody is anti-E (a minor red cell antigen). How long will the crossmatch take?2 min5 min15 min45 min90 minA 63 year old man (70kg) with cirrhosis needs a paracentesis. Pre-procedural laboratory testing reveals a Hb 120g/L, platelet 75 x 109/L and an INR of 1.9. Which of the following should he receive?2 units of frozen plasma3 units of frozen plasma4 units of frozen plasma5 units of frozen plasmaNo frozen plasmaThe AABB guidelines support a restrictive transfusion strategy over a liberal transfusion strategy.. Which of the following patient populations still requires further study?Cardiac surgeryCritically ill patientsUpper gastrointestinal bleedingOrthopedic surgeryUnstable coronary syndromesA patient is actively bleeding with an INR 2.1. Which of the following is an indication for plasma?Dabigatran reversalHeparin reversalLiver diseaseVolume expansionWarfarin reversalAn 85 year old presents with intracranial hemorrhage. He is on warfarin for atrial fibrillation. His INR is 3.4. What is your recommended treatment?Oral vitamin K and plasmaIntravenous vitamin K and plasmaOral vitamin K and prothrombin complex concentratesIntravenous vitamin K and prothrombin complex concentratesProthrombin complex concentrates
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