Answer 20

20.  Choice C is the correct answer.  Vitamin B12 can present with neurologic findings but folic acid deficiency does not.

Question 20

20.  Which of the following is not true regarding folic acid and vitamin B 12 deficiency?

A.  Folic acid and vitamin B12 deficiency both present as a macrocytic anemia
B.  Vitamin B12 Deficiency increases the risk for osteoporosis
C.  Folic Acid Deficiency can present with neurologic findings
D.  Pernicious Anemia needs to be treated with parenteral Vitamin B12

Answer 19

19.  Choice D is the correct answer.  PCC has a much quicker reversal on warfarin than FFP and Vitamin K.  FFP, Vitamin K IV, and PCC are all indicated.  Vitamin K has the slowest effect, FFP has the next quickest effect, and PCC has the quickest effect.

Question 19

19.  Your patient is a 64 year old male that was involved in MVC and hit his head.  He is on coumadin with an INR of 7.  His CT scan of his head reveals a subdural hematoma.  Which of the following is the treatment of choice for the quickest reversal of his coumadin?

A.  Fresh Frozen Plasma
B.  Vitamin K IV
C.  Vitamin K PO
D.  Prothrombin Complex Concentrate (PCC)

Answer 18

18.  Choice D is the correct answer.  Virchow's triad is alterations of blood flow, vascular injury, and alterations of the constituents of blood (inherited and acquired hypercoagulable states).

Question 18

18.  All of the following are parts of Virchow's Triad except:

A.  Alterations of Blood Flow (Stasis)
B.  Vascular Endothelial Injury
C.  Alterations of the Constituents of Blood
D.  Malignancy

Answer 17

17.  Choice B is the correct answer.  Splenectomy is the definitive treatment for ITP.  Steroids are used in ITP.  Plasma exchange is the therapy of choice for TTP.