New on-line CME tests

How would you treat a 56-year-old woman complaining of the recent onset of quite extensive mild bruising on her thighs and abdominal wall who denies taking non-steroidal anti-inflammatory drugs or any other medication?

She underwent a cholecystectomy over twenty years ago without problems. Her family history provided no further insight.

On physical examination:

Appeared to be in good health
No signs of bleeding except mild bruising on thighs and abdominal wall
No spleen enlargement

Laboratory findings:

Prothrombin time 28 seconds (normal control, 12 seconds); INR 2.7 Normal results for APTT, skin bleeding time, platelet aggregometry and assays of factor VIIIc and vWD ristocetin cofactor.

What steps would you take?

By responding correctly to the six multiple choice questions (you will be given three attempts), you may earn one EHA-CME credit point per test through distance training. CME Tests are open freely to everyone who has an online EHA-CME account. If you do not have an account yet, it only takes a minute to complete the online application after which you may login in immediately to complete the available CME tests.
Click Training online in the left menu, or link below, to get started

Training On-line

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Last updated on Friday 23 November 2007.