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Hema 2 tests
| Question | Answer |
|---|---|
| NV of clotting time | Capillary blood: slide and drop- 2 to 4 mins Whole blood: Lee and White- 5 to 15 mins |
| NV for PT | 10-12 seconds |
| NV for Stypven time | 6-10 seconds |
| NV for APTT | 20-45 seconds |
| NV for TcT | 10-14 seconds |
| NV for Reptilase test | 10-15 seconds |
| Screening test for factor 13 def | Duckert’s test or 5 M Urea solubility test |
| BP cuff of Ivy method | 40mmHg |
| Begin time for clot formation in PT and APPT, when | After addition of calcium chloride |
| Specimen used in PT and APTT | PPP which is centrifuged from Citrated blood |
| Results of PT is reported as | INR |
| PT rgts is assessed by: | ISI/ International Sensitivity Index |
| INR of 2.0-3.0 | Pulmonary embolism, DVT, transient ischemic attack |
| INR of 2.5 to 3.5 | Mechanical or prosthetic heart valves |
| INR of 2.0 to 4.5 | Recurrent DVT, pulmonary embolism, MYOCARDIAL INFARCTION, arterial disease |
| Test that uses activators added to its rgt | APTT |
| Test for factor 1/fibrinogen deficiency | Thrombin time or TcT & Reptilase test |
| Test for common pathway deficiency | Stypven time or Russel Viper Venom Time |
| Standard ISI with best sensitivity | Equal to 1 |
| Has ISI equal to 1.0 | Manchester’s reagent |
| APTT reagent | Phospholipids, CaCl and activator |
| PT reagent | Tissue thromboplastin and CaCl |
| Activators used in APTT rgt | Silica, Ellagic acid, Celite, Kaolin (SECK) |
| Factor 1 def test that is unaffected by Heparin | Reptilase test |
| Factor 1 def test that is prolonged with Heparin | Thrombin time or ThromboClotting Time |
| Test for screening Fibrinolytic activity | Euglobin lysis time |
| Euglobin is protein made up of | Plasmin, Plasminogen, Plasminogen activator, Fibrinogen |
| Normal fibrinolytic activity of Euglobin lysis | >2 hrs So there is normal finrinolysis |
| Result of increased fibrinolysis in Euglobin lysis time | <2 hours, lysed faster. Increased fibrinolysis = Bleeding |
| Reptilase source | Enzyme found in venom of Bothrops athrox snake |
| Stypven source | From the venom of Vipera Ruselli |
| Reptilase rgt | Atroxin |
| Clotting time test that is not preferred cause it causes MT injuries | Capillary tube/Dale and Laidlaw’s |
| Yes or No. Is a normal clot soluble to urea within 24 hrs? | No |
| Screening test for Factor 13 deficiency | Duckerts Test or 5 M urea solubility test |
| Test that bypasses coagulation by directly activating Factor X | Stypven Time or Russel Viper Venom Time |
| Test for increased fibrinysis | Whole Blood Clot Lysis Time |
| Detects the presence of fibrin monomers in the plasma | Protamine Sulfate Test and Ethanol Gelation Test |
| More sensitive test that detects the presence of fibrin monomers in the plasma | Protamine Sulfate test |
| More specific test that detects the presence of fibrin monomers in the plasma | Ethanol Gelation Test |