FlashKeepers

Hematology and Oncology · USMLE Step 1

USMLE Hematology: Coagulation and Bleeding Disorders

Hemophilia, von Willebrand disease, disseminated intravascular coagulation, and platelet disorders with their distinguishing lab findings.

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Which clotting factor is deficient in Hemophilia A?
Factor VIII
Which clotting factor is deficient in Hemophilia B?
Factor IX
What is the inheritance pattern of Hemophilia A and B?
X-linked recessive
How does hemophilia affect the PTT (partial thromboplastin time)?
PTT is prolonged
How does hemophilia affect the PT (prothrombin time)?
PT is normal
How does hemophilia affect bleeding time?
Bleeding time is normal
What is the classic bleeding pattern seen in hemophilia?
Hemarthroses (bleeding into joints) and deep muscle or soft tissue bleeds
What is the mainstay treatment for hemophilia A and B?
Replacement of the deficient clotting factor with recombinant factor concentrate
What is the inheritance pattern of von Willebrand disease?
Autosomal dominant
What is the most common inherited bleeding disorder?
Von Willebrand disease
How does von Willebrand factor (vWF) help platelets adhere to an injured vessel wall?
It mediates platelet adhesion to exposed subendothelial collagen
Besides mediating platelet adhesion, which clotting factor does vWF stabilize in the blood?
Factor VIII
How does von Willebrand disease affect bleeding time?
Bleeding time is prolonged
How does von Willebrand disease typically affect PTT?
Normal or mildly prolonged, due to low factor VIII levels
How does von Willebrand disease affect platelet count?
Platelet count is normal

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