need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (โ€œpredict me!โ€)

NBME Free 120 Answers

free120/Block 1/Question#7 (reveal difficulty score)
An asymptomatic 44-year-old man is found to ...
Petechiae ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags:

 Login (or register) to see more


 +3  upvote downvote
submitted by โˆ—madden875(25)
get full access to all contentpick a username

From Goljan:

Platelet problem = epistaxis, echymoses, petechia, bleeding from superficial scratches

Coagulation problem = late re-bleed, Menorrhagia, GI bleeds, hemarthroses

get full access to all contentpick a username
step7777  Also that: Platelet problem = primary hemostasis = superficial bleeding Coagulation problem = secondary hemostasis = "deep" / internal bleeding +2
zevvyt  i thought I read that INR was 12 and got real confused on that question +
topgunber  is there a reason for the decreased PTT? or is that just a distraction +
justanotherimg  @topgunber It throwed me off as well, but I found this on google- Sometimes a traumatic or difficult blood collection may result in activation of the coagulation pathway in the sample, resulting in a shortened aPTT time. So I guess it was just a distraction. +
icrieeverytiem  It's still confusing. The decreased PT and PTT seemed like hypercoagulability and the only rationale to eliminate that is that he is asymptomatic. Unfortunately I picked DVT and lost an easy point. +1
athenathefirst  also is subungal hemorrhage seen in infective endocarditis? +



 -2  upvote downvote
submitted by โˆ—handsome(3)
get full access to all contentpick a username

HIV is a viral agent that can cause aplastic anemia.

which can have Symptoms: fatigue, malaise, pallor, purpura, mucosal bleeding, petechiae, infection

FA20 pg 421

get full access to all contentpick a username



Must-See Comments from free120

sugaplum on It is a polymorphism
bwdc on Elaboration of proteases and urease with ...
bwdc on Hypercoagulability from advanced malignancy
bwdc on Ribosomal assembly
bwdc on Aspiration
bwdc on Amygdala
imnotarobotbut on von Willebrand disease
bwdc on Trinucleotide repeat expansion
bwdc on Mediation of cell entry via a fusion protein
bwdc on Metabolism
bwdc on Basement membrane
melchior on Aspiration
hungrybox on Immune complex deposition in tissues
aejinkim on Decreased activity in the enzyme that ...

search for anything NEW!