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nbme9 - mydream
#1
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


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#2
D) Uncontrolled activation of coagulation and
fibrinolytic cascades......??????.... heparin....ptt prong
Reply
#3
HIT.....aaaaaaaa
Reply
#4
A...
Reply
#5
aaaaaaaaaaa.............. thrombocytopenia.........non immuno type of ( direct ) destruction of platelate .......
Reply
#6
a
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