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nbme9 - mydream - ArchivalUser - 06-11-2007

9. A 57-year-old man has been hospitalized for 2
days for treatment
of unstable angina pectoris. He is currently
receiving intravenous
heparin and undergoing evaluation for coronary artery
bypass grafting.
His blood pressure is 160/90 mm Hg, pulse is 88/min,
and respirations are
16/min. Laboratory studies show:

Platelet count 90,000/mm3
Prothrombin time 12 sec (INR=1.1)
Partial thromboplastin time 35 sec

Which of the following is the most likely cause of
these findings?

A
) Excessive platelet destruction

B
) Factor VIII deficiency

C
) Inadequate platelet production

D
) Uncontrolled activation of coagulation and
fibrinolytic cascades

E
) Vitamin K deficiency





0 - ArchivalUser - 06-11-2007

D) Uncontrolled activation of coagulation and
fibrinolytic cascades......??????.... heparin....ptt prong


0 - ArchivalUser - 06-11-2007

HIT.....aaaaaaaa


0 - ArchivalUser - 06-11-2007

A...


0 - ArchivalUser - 06-11-2007

aaaaaaaaaaa.............. thrombocytopenia.........non immuno type of ( direct ) destruction of platelate .......


0 - ArchivalUser - 06-11-2007

a