Which of the following fibrinolytic agents are used to treat a ...

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Which of the following fibrinolytic agents are used to treat a pulmonary embolism?
 
  1. Urokinase
  2. Vitamin K
  3. Heparin
  4. Streptokinase
  a. 1, 4
  b. 2, 3
  c. 1, 3, 4
  d. 1, 2, 3, 4

Question 2

An unconscious patient aspirated gastric contents. Which of the following anaerobic microorganisms would likely now be found in her lower respiratory tract?
 
  1. Legionella pneumophila
  2. Pseudomonas aeruginosa
  3. Peptococci
  4. Bacteroides fragilis
  a. 1, 3
  b. 3, 4
  c. 1, 3, 4
  d. 1, 2, 3, 4

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Answer to Question 1

A
Fibrinolytic agents such as streptokinase (Streptase), urokinase (Abbokinase), alteplase (Activase), and reteplase (Retavase) actually dissolve blood clots. These agents (commonly referred to as clot-busters) have proved beneficial in treating acute pulmonary embolism. Heparin is an anticoagulant, not a fibrinolytic. Vitamin K does affect clotting time but is not given therapeutically to break up an existing blood clot.

Answer to Question 2

B
Peptococci and B. fragilis are anaerobic microorganisms and may be present in the lower respiratory tract following aspiration.