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0 [{"id":630563,"quiz_id":"29010","answer_id":null,"answerType_id":"0","created_at":"2018-11-28 11:11:53","updated_at":"2018-11-28 11:11:53","questionName":"Which of the following is not a role of Von Willebrand Factor?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null},{"id":630555,"quiz_id":"29010","answer_id":null,"answerType_id":"0","created_at":"2018-11-28 10:15:13","updated_at":"2018-11-28 10:15:13","questionName":"You are working at the assessment suite and a 6 year old Syrian boy is brought in by his mother. He has a very swollen and sore left knee after a game of football that afternoon. On examination you note a grossly swollen knee which is erythematous and painful to touch. No flexion or extension is possible without extreme pain. All other signs are normal but you note prolific bruising on the boys arms, legs and torso. His mother does not speak good English but indicates that her father had always been in poor health and had died during routine surgery at the age of 37. On the basis of this history, which test will best help you form a diagnosis?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"APTT is grossly elevated in Haemophilia A","question_score_id":null,"lang":"","questionAudioPath":null},{"id":632334,"quiz_id":"29010","answer_id":null,"answerType_id":"0","created_at":"2018-11-30 15:05:09","updated_at":"2018-11-30 15:05:09","questionName":"A patient on the palliative care unit is on 2.5mg morphine PRN for pain. You realise that their eGFR has fallen to <30ml\/min. Which drug should you consider switching to?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"Buorenorphine, afentanil and fentanyl are best in renal failure \r\nhttps:\/\/www.sps.nhs.uk\/articles\/which-opioids-can-be-used-in-renal-impairment\/","question_score_id":null,"lang":"","questionAudioPath":null},{"id":630552,"quiz_id":"29010","answer_id":null,"answerType_id":"0","created_at":"2018-11-28 10:06:29","updated_at":"2018-11-28 10:06:29","questionName":"Haemophilia A is a deficiency of which clotting ?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null},{"id":632322,"quiz_id":"29010","answer_id":null,"answerType_id":"0","created_at":"2018-11-30 14:53:53","updated_at":"2018-11-30 14:53:53","questionName":"Which opioid has a particular adverse reaction with SSRIs, risking the developement of Serotonin Syndrome ","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null},{"id":632342,"quiz_id":"29010","answer_id":null,"answerType_id":"0","created_at":"2018-11-30 15:10:36","updated_at":"2018-11-30 15:10:36","questionName":"You are on the palliative care ward when you note that one of the patients is beginning to have problems with his respiratory secretions. The consultant asks you to prescribe something to sort this out. The patient is a 74 year old male with metastatic prostate cancer. He has a respiratory rate of 13, HR 62, and blood pressure 132\/88. He has a normocytic anaemia, mildly elevated LFTs and unremarkable U&E. His eGFR is 22ml\/min and ABGs are normal. What should you prescribe?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"Hyoscine HYDRO for patients with decent kidneys as it is water soluble (hence the hydro)\r\nHyoscine BUTYL for patients with bad kidneys as this can be excreted by the liver instead as it\u2019s fat soluble ","question_score_id":null,"lang":"","questionAudioPath":null},{"id":632325,"quiz_id":"29010","answer_id":null,"answerType_id":"2","created_at":"2018-11-30 14:56:14","updated_at":"2018-11-30 14:56:14","questionName":"Match the analgaesics to their place on the WHO pain ladder ","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null},{"id":631329,"quiz_id":"29010","answer_id":null,"answerType_id":"0","created_at":"2018-11-29 11:19:23","updated_at":"2018-11-29 11:19:23","questionName":"When do troponins peak in the blood, post MI?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"Detectable from 3 or 4 hours and peak 12-24","question_score_id":null,"lang":"","questionAudioPath":null},{"id":630550,"quiz_id":"29010","answer_id":null,"answerType_id":"0","created_at":"2018-11-28 10:03:20","updated_at":"2018-11-28 10:03:20","questionName":"What factor is required to amplify the clotting cascade in a burst fashion?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null},{"id":630557,"quiz_id":"29010","answer_id":null,"answerType_id":"0","created_at":"2018-11-28 10:20:29","updated_at":"2018-11-28 10:20:29","questionName":"You are on elective in some far flung place and you are examining a patient who you know has a hereditary coagulopathy. The hospital has no records or testing equipment so have no other information to hand. What is the most likely cause?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"VWD is the most common inherited coagulopathy ","question_score_id":null,"lang":"","questionAudioPath":null},{"id":631330,"quiz_id":"29010","answer_id":null,"answerType_id":"0","created_at":"2018-11-29 11:20:26","updated_at":"2018-11-29 11:20:26","questionName":"Which test is the most specific for damage to the heart?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null},{"id":630551,"quiz_id":"29010","answer_id":null,"answerType_id":"0","created_at":"2018-11-28 10:05:03","updated_at":"2018-11-28 10:05:03","questionName":"Which part of the clotting cascade involves tissue factor expressed on the endothelial surface?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null},{"id":630562,"quiz_id":"29010","answer_id":null,"answerType_id":"0","created_at":"2018-11-28 11:02:37","updated_at":"2018-11-28 11:02:37","questionName":"You are assessing a male who has suspected Von Willebrand Disease. Which of the following tests will provide you with the best diagnostic information?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null},{"id":630547,"quiz_id":"29010","answer_id":null,"answerType_id":"0","created_at":"2018-11-28 09:57:04","updated_at":"2018-11-28 09:57:04","questionName":"Which of the following is unlikely to cause a polcythaemia?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null},{"id":631312,"quiz_id":"29010","answer_id":null,"answerType_id":"0","created_at":"2018-11-29 10:07:16","updated_at":"2018-11-29 10:07:16","questionName":"What is the main function of intracellular signal transduction pathways?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null}]
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Which of the following is not a role of Von Willebrand Factor?

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