Lafayette Medical Education Foundation, Inc.
Pre-Test Competency Questions
“Ecchymosis, Epistaxis, and Bleeding…Oh My!”
Brandon Hardesty, MD
August 26, 2015
1. What is the population average non-major bleeding rate?
a. 1-2 episodes per 100 person-years
b. 3-4 episodes per 100 person-years
c. 6-8 episodes per 100 person-years
d. 10-12 episodes per 100 person-years
2. A 35-year-old man is referred because he was found to have a
prolonged aPTT of 34 seconds (normal 25-32) on preoperative screening
before cholecystectomy. Which of the following is true?
a. His actual risk of bleeding is low because the aPTT is only slightly
prolonged (PTT ratio is <1.2). He can safely proceed to surgery.
b. His risk for hemorrhagic complications cannot be determined based
on the available data.
c. He has an increased risk of bleeding that can be managed by infusing
2 units of FFP before surgery and avoiding DVT prophylaxis postoperatively.
3. A deficiency of factor VIII would be expected to produce prolongation
of which coagulation assay?
a. PT
b. aPTT
c. Thrombin Time
d. PFA-100
Please see Post-Test on the back
Lafayette Medical Education Foundation, Inc.
Post-Test Competency Questions
“Ecchymosis, Epistaxis, and Bleeding…Oh My!”
Brandon Hardesty, MD
August 26, 2015
2. What is the population average non-major bleeding rate?
e. 1-2 episodes per 100 person-years
f. 3-4 episodes per 100 person-years
g. 6-8 episodes per 100 person-years
h. 10-12 episodes per 100 person-years
4. A 35-year-old man is referred because he was found to have a
prolonged aPTT of 34 seconds (normal 25-32) on preoperative screening
before cholecystectomy. Which of the following is true?
a. His actual risk of bleeding is low because the aPTT is only slightly
prolonged (PTT ratio is <1.2). He can safely proceed to surgery.
b. His risk for hemorrhagic complications cannot be determined based
on the available data.
c. He has an increased risk of bleeding that can be managed by infusing
2 units of FFP before surgery and avoiding DVT prophylaxis postoperatively.
5. A deficiency of factor VIII would be expected to produce prolongation
of which coagulation assay?
a. PT
b. aPTT
c. Thrombin Time
d. PFA-100
Please complete and hand in with your completed evaluation