Anticoagulant Workshop 2022

Quiz
•
Biology, Science, English
•
3rd Grade
•
Hard
woanjieh lim
Used 5+ times
FREE Resource
12 questions
Show all answers
1.
MULTIPLE SELECT QUESTION
45 sec • 5 pts
What are the 3 factors in Virchow triad that are responsible for the risk of thrombosis?
Hypercoagulability
Stasis
Thrombophilia
Endothelial injury
2.
MULTIPLE CHOICE QUESTION
30 sec • 5 pts
Which category in COVID-19 patient that you should start consider anticoagulant based on our latest Malaysia guideline?
1
2
3
4
3.
MULTIPLE CHOICE QUESTION
30 sec • 5 pts
In older people with Atrial Fibrillation, which of the following is FALSE?
I) Anticoagulant should be avoided in frail older people with HAS-BLED score >5
II) Dabigatran 110mg BD should be used in patients age ≥80, concomitant use of Amlodipine OR increased bleeding risk
III) Apixaban 2.5mg BD should be used for patients age ≥80, ≤60kg OR serum Creatinine ≥133umol/L
IV) Rivaroxaban 15mg OD if CrCl 15-30mL/min
I, II
I, II, III
II, IV
All of the above
4.
MULTIPLE CHOICE QUESTION
30 sec • 5 pts
In normal renal function the anticoagulant effects of DOAC usually wear off in ___________
24 – 48 hrs
12 - 24 hrs
6 - 12 hrs
3 – 6 hrs
5.
MULTIPLE CHOICE QUESTION
30 sec • 5 pts
What do our experts recommend as first line reversal agents for Factor Xa inhibitors (Apixaban,Rivaroxaban) and Direct thrombin inhibitor (Dabigatran)?
Andexanet Alfa and Idarucizumab
4-factor PCC at dose of 50IU/kg up to 2,000 units and Idarucizumab
Activated charcoal
4-factor PCC
6.
MULTIPLE CHOICE QUESTION
30 sec • 5 pts
A 70 year old man with history of atrial fibrillation and diabetes presented with right sided upper and lower limb weakness and dysartria which started an hour ago. His medication history includes Dabigatran 110mg BD and Sitagliptin 100mg BD. On examination, power on the affected side is 4/5. NIHSS score was 1. HAS-BLED score rather low. CT Brain was normal. Diagnosis of left lacunar stroke was made and decided not to thrombolyse. His blood investigation shows LDL of 3.2, Creatinine 98 micromol/L. What would be your next course of action in regards to optimization of his risk factors control?
Stop Dabigatran and start tablet aspirin 150mg OD
Add on tablet aspirin 150mg OD
Add on tablet aspirin 150mg OD and lipid-lowering medication
Increase Dabigatran to 150mg BD and add on lipid-lowering medication
7.
MULTIPLE CHOICE QUESTION
30 sec • 5 pts
Conditions that increase the risk of systemic embolisation in patients with LV thrombus are following except
Severe congestive heart failure
Diffuse LV dilatation and systolic dysfunction
Previous embolisation
Young age
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