1) A 35-year-old male with a history of chronic alcoholism is seen in the emergency department. He is clutching at his abdomen in severe pain. The nurse detects alcohol on his breath. Physical exam reveals epigastric pain. Labs: anemia, elevated lipase and amylase levels. Schistocytes are present in the peripheral blood smear. The team is worried that the patient may have an increased risk to develop which of the following conditions? a) Bronchogenic carcinoma b) Disseminated intravascular coagulopathy c) Fibrinoid necrosis in the pancreas d) Pulmonary embolism e) Thrombotic thrombocytopenic purpura 2) A 32-year-old female arrives to the emergency department. She is unconscious and is noted to have red lesions on her trunk and arms. Labs: anemia, low platelet count, normal PT, PTT, and elevated urea nitrogen and creatinine. The physician wants to review the peripheral blood smear. Which of the following would most likely be present in the smear? a) Bacterial organisms b) Fragmented red blood cells c) Fungal organisms d) Hypersegmented neutrophils e) Parasitic protozoal organisms 3) A 22-year-old male sees a hematologist for followup of some diagnostic tests. He has a history of recurrent deep vein thromboses in the past 2 years. Genetic workup was negative for inheritable thrombotic conditions. Serologic workup reveals elevated levels of cardiolipin and beta-2 glycoprotein antibodies. Prothrombin time (PT) was also performed. Which of the following would be the result for this patient? a) Decreased PT time b) Normal PT time c) Prolonged PT time d) Need to also perform an INR alongside PT

Clotting disorders

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