Post-test PBM

Madam N, 35 years old, G2P1 at 18 weeks POG with Hb of 10.7 g/dL. MCV and MCH were normal. Is she anemic?

• YES

• NO

• NOT SURE

Below are primary haemostasis bleeding disorders except:

• Immune thrombocytopenia

• Von willebrand disease

• Storage pool disease

• Acquired Haemophilia A

• Aspirin related platelet dysfunction

The most common cause of anemia in pregnancy is iron deficiency. True or false? 

• FALSE

• TRUE

What are the indications for parenteral iron therapy?

• Noncompliance with oral iron therapy

• Inadequate time prior to delivery for oral iron to be effective. 

• Poor response to oral iron therapy (Hb increment of less than 1g in 2 weeks or 2g in 4 weeks)

• Intolerance to oral iron therapy

These are the Preoperative measures in minimizing blood loss and bleeding ( 2nd Pillar of PBM) except:

• Minimizing iatrogenic blood loss

• Identify and manage bleeding risk

• Screen for and manage anaemia

• Consider preoperative autologous blood donation

In the context of postpartum haemorrhage (PPH), what is the primary rationale for using tranexamic acid (TXA)?

• To improve platelet function

• To promote vasoconstriction

• To increase red cell production

• To reduce fibrinolysis and bleeding

• To activate the coagulation cascade

Choose an example of Haemostatic agent to minimize bleeding intraoperatively

• Adrenaline

• Cell Salvage

• Fibrin / Collagen matrix

• Desmopressin

All are Indications for Cell Salvage except:

• Anticipated Intraoperative blood loss >1L

• Rare blood disorders

• Jehovah’s witness

• Preop anaemia/high risk of bleeding

According to recent consensus, what hemoglobin level is considered the threshold to screen for iron deficiency and enhanced patient blood management (PBM) before surgery?

• <130 g/L for all

• 120 g/L for women and <130 g/L for men

• <100 g/L for women and <120 g/L for men

• <110 g/L for all

What is the most common cause of preoperative anemia?

• Vitamin B12 deficiency

• Chronic kidney disease

• Iron deficiency anemia (IDA)

• Hemoglobinopathies