BLOOD 2

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Where are platelets formed in the body?

  • Spleen
  • Liver
  • Lungs
  • Bone marrow (correct)

What is the normal concentration of platelets in the blood?

  • 50,000 - 150,000/ μL
  • 650,000 - 850,000/ μL
  • 450,000 - 650,000/ μL
  • 150,000 - 450,000/ μL (correct)

What is the half-life of platelets in the blood?

  • 8 to 12 days (correct)
  • 15 to 20 days
  • 3 to 5 days
  • More than 20 days

Which organelle is NOT found within platelets?

<p>Nucleus (B)</p> Signup and view all the answers

What is the main function of the coat of glycoproteins on platelets' membrane?

<p>Repulses adherence to injured areas of the vessel wall (A)</p> Signup and view all the answers

Which enzyme system is NOT found within platelets?

<p>ATP synthase (C)</p> Signup and view all the answers

What is the function of serum in blood clotting?

<p>It is blood plasma minus its fibrinogen and most of the other clotting factors (B)</p> Signup and view all the answers

What is the role of activated platelets in blood clot contraction?

<p>Activating platelet thrombosthenin, actin, and myosin molecules (A)</p> Signup and view all the answers

Which factor is responsible for catalyzing the cross-linkage in blood clotting?

<p>Factor XIII (fibrin-stabilizing factor) (D)</p> Signup and view all the answers

What is the rate-limiting factor in causing blood coagulation?

<p>Formation of prothrombin activator (C)</p> Signup and view all the answers

Which pathway has fewer steps and occurs rapidly in blood coagulation?

<p>Extrinsic pathway (D)</p> Signup and view all the answers

Where does the intrinsic pathway for blood coagulation begin?

<p>Within the blood itself (C)</p> Signup and view all the answers

What is the role of vitamin K in blood clotting?

<p>Is required by the liver for normal activation of prothrombin (D)</p> Signup and view all the answers

Which enzyme acts on fibrinogen to form fibrin in blood coagulation?

<p>Thrombin (B)</p> Signup and view all the answers

What is the function of fibrin-stabilizing factor in blood clotting?

<p>(I) Activated XIII Loose fibrin threads STRENGTHENED FIBRIN THREADS 3 (D)</p> Signup and view all the answers

Why does little fibrinogen normally leak from the blood vessels into the interstitial fluids?

<p>Because of its large molecular size (B)</p> Signup and view all the answers

How do the intrinsic and extrinsic mechanisms usually operate when a blood vessel ruptures during tissue injury?

<p>The extrinsic mechanism stops blood in the injured vessel while the intrinsic mechanism clots blood that escaped into the tissue before the vessel was sealed off. (A)</p> Signup and view all the answers

What limits the explosive nature of the extrinsic pathway in blood coagulation?

<p>The amount of tissue factor released from traumatized tissues and by the quantities of Factors X, VII, and V in the blood. (A)</p> Signup and view all the answers

What is the main factor responsible for the prevention of blood coagulation while it is circulating in the blood vessels?

<p>The smoothness of the endothelial cell surface (B)</p> Signup and view all the answers

What happens when the endothelial wall is damaged?

<p>Factor XII and platelets are activated, setting off the intrinsic pathway of clotting (A)</p> Signup and view all the answers

Which substance is among the most important anticoagulants in the blood, responsible for removing thrombin?

<p>Fibrin fibers formed during the process of clotting (D)</p> Signup and view all the answers

What is the main function of Heparin in the blood?

<p>Prevents contact activation of platelets and Factor XII (C)</p> Signup and view all the answers

What can cause thromboembolism according to the text?

<p>Release of tissue thromboplastin into the blood from traumatized tissue (D)</p> Signup and view all the answers

What are the causes of thromboembolic conditions mentioned in the text?

<p>Roughened vessel surfaces associated with atherosclerosis (C)</p> Signup and view all the answers

What is a characteristic feature of DIC (Disseminated Intravascular Coagulation)?

<p>Bleeding due to removal of clotting factors by widespread clotting (B)</p> Signup and view all the answers

'Thromboembolic' conditions generally refer to:

<p>Conditions involving widespread clotting and embolism formation (C)</p> Signup and view all the answers

What does antithrombin III mainly combine with in order to prevent clot formation?

<p>Thrombin adsorbed to fibrin fibers (A)</p> Signup and view all the answers

What happens when a vessel is ruptured according to Slide 40?

<p>Procoagulants from area of tissue damage become activated, overriding anticoagulants (B)</p> Signup and view all the answers

What is responsible for inhibiting platelet aggregation and initiation of blood clotting, according to Slide 40?

<p>Intact endothelial cells producing prostacyclin and nitric oxide (NO) (A)</p> Signup and view all the answers

What is the role of aspirin in hemostasis?

<p>Inhibiting the formation of a platelet plug (C)</p> Signup and view all the answers

What prevents further blood loss by adhering to damaged surfaces of blood vessels?

<p>Fibrin fibers (A)</p> Signup and view all the answers

Which event results from a series of chemical reactions and culminates in the formation of fibrin threads?

<p>Blood clotting (coagulation) (D)</p> Signup and view all the answers

What is the first event in hemostasis?

<p>Vascular constriction (A)</p> Signup and view all the answers

What is the primary function of the aggregated platelet plug in hemostasis?

<p>Physically sealing the break in the vessel (D)</p> Signup and view all the answers

What role does von Willebrand factor (vWF) play in platelet plug formation?

<p>Adhesion of platelets to the subendothelial matrix (B)</p> Signup and view all the answers

What is the significance of thromboxane A2 in platelet plug formation?

<p>Inducing profound vasoconstriction (C)</p> Signup and view all the answers

How does aspirin work to prevent blood loss?

<p>By irreversibly inhibiting the enzyme cyclooxygenase (COX-1) (D)</p> Signup and view all the answers

What is the primary function of hemostasis?

<p>Prevention of blood loss (B)</p> Signup and view all the answers

What is the role of tissue factor in the extrinsic pathway of blood clotting?

<p>Formation of prothrombin activator (B)</p> Signup and view all the answers

What is the function of activated factor X in the intrinsic pathway of blood coagulation?

<p>Activates factor IX (C)</p> Signup and view all the answers

What is the primary deficiency in hemophilia A?

<p>Factor VIII (D)</p> Signup and view all the answers

What is the role of thrombin in blood coagulation?

<p>Converts fibrinogen into fibrin (C)</p> Signup and view all the answers

Why do we use Ethylenediaminetetraacetic acid (EDTA) tube to collect blood for CBC?

<p>Chelates calcium ions required for blood clotting (B)</p> Signup and view all the answers

What is the final step before dissolution of a blood clot?

<p>Release of tissue plasminogen activator (D)</p> Signup and view all the answers

What is the main function of fibrous organization in hemostasis?

<p>Repair the injured vessel wall (B)</p> Signup and view all the answers

Which pathway requires the activation of factor XII and release of platelet phospholipids?

<p>(b) Intrinsic pathway (C)</p> Signup and view all the answers

What role does activated factor V play in blood clotting?

<p>Formation of prothrombin activator (D)</p> Signup and view all the answers

What is the significance of hemophilia A and hemophilia B being X-linked disorders?

<p>They predominantly affect males. (C)</p> Signup and view all the answers

What is the primary role of plasmin in blood coagulation?

<p>Dissolution of remaining unnecessary blood clots (B)</p> Signup and view all the answers

What is the main function of thrombosthenin in platelets?

<p>ATP production (D)</p> Signup and view all the answers

Which organelle is NOT found within platelets?

<p>Nucleus (C)</p> Signup and view all the answers

What is the normal concentration of platelets in the blood?

<p>200,000 - 450,000/ μL (A)</p> Signup and view all the answers

What is the main role of the coat of glycoproteins on platelet membranes?

<p>Repulse adherence to injured areas of the vessel wall (D)</p> Signup and view all the answers

What is responsible for inhibiting platelet aggregation and initiation of blood clotting, according to the text?

<p>Vascular endothelial cells (B)</p> Signup and view all the answers

What limits the explosive nature of the extrinsic pathway in blood coagulation?

<p>Factor VII (A)</p> Signup and view all the answers

What is the primary role of thromboxane A2 in platelet plug formation?

<p>Activating platelet aggregation (B)</p> Signup and view all the answers

What is the primary function of Heparin in the blood?

<p>Inhibiting blood coagulation (D)</p> Signup and view all the answers

What is the significance of hemophilia A and hemophilia B being X-linked disorders?

<p>They are more common in males than in females (D)</p> Signup and view all the answers

What happens when the endothelial wall is damaged?

<p>von Willebrand factor adheres to the exposed collagen (A)</p> Signup and view all the answers

What is the main factor responsible for the prevention of blood coagulation while it is circulating in the blood vessels?

<p>Antithrombin III in plasma (B)</p> Signup and view all the answers

What is the role of tissue factor in the extrinsic pathway of blood clotting?

<p>Initiating blood coagulation cascade (B)</p> Signup and view all the answers

What is responsible for inhibiting platelet aggregation and initiation of blood clotting, according to Slide 40?

<p>Aspirin (D)</p> Signup and view all the answers

What is the function of activated factor X in the intrinsic pathway of blood coagulation?

<p>Catalyzing conversion of prothrombin to thrombin (C)</p> Signup and view all the answers

'Thromboembolic' conditions generally refer to:

<p>'Blockage of a blood vessel' (D)</p> Signup and view all the answers

Why do we use Ethylenediaminetetraacetic acid (EDTA) tube to collect blood for CBC?

<p>To prevent coagulation of blood during storage and transportation (C)</p> Signup and view all the answers

What is the primary function of fibrous organization in hemostasis?

<p>Preventing further blood loss by adhering to damaged surfaces of blood vessels (B)</p> Signup and view all the answers

What role does activated factor V play in blood clotting?

<p>Accelerating the formation of fibrin fibers (D)</p> Signup and view all the answers

Which of the following statements about blood coagulation is true?

<p>The extrinsic pathway requires damaged platelets to initiate the formation of prothrombinase (C)</p> Signup and view all the answers

What is the role of thrombin in blood coagulation?

<p>Thrombin strengthens the fibrin meshwork by forming covalent bonds between fibrin monomer molecules (A)</p> Signup and view all the answers

What is the primary function of hemostasis?

<p>To stop bleeding and maintain blood within a damaged blood vessel (C)</p> Signup and view all the answers

What is the main function of the aggregated platelet plug in hemostasis?

<p>To adhere to damaged surfaces of blood vessels and prevent further blood loss (A)</p> Signup and view all the answers

What is responsible for inhibiting platelet aggregation and initiation of blood clotting, according to Slide 40?

<p>Antithrombin III (C)</p> Signup and view all the answers

Why does little fibrinogen normally leak from the blood vessels into the interstitial fluids?

<p>Because fibrinogen is formed in the liver and remains primarily in the plasma (B)</p> Signup and view all the answers

What is the significance of thromboxane A2 in platelet plug formation?

<p>It promotes platelet aggregation and vasoconstriction at the site of injury (D)</p> Signup and view all the answers

What can cause thromboembolism according to the text?

<p>Increased permeability of capillaries during pathological conditions (C)</p> Signup and view all the answers

What is responsible for removing thrombin from the clot, thus preventing further clot growth?

<p>Plasmin (B)</p> Signup and view all the answers

How does Ethylenediaminetetraacetic acid (EDTA) work in collecting blood for CBC?

<p>It chelates calcium ions necessary for blood coagulation (C)</p> Signup and view all the answers

What is the primary function of Heparin in the blood?

<p>To prevent further clot growth by inhibiting thrombin activity (D)</p> Signup and view all the answers

What is the role of thrombomodulin in blood coagulation?

<p>Binds with thrombin and activates plasma protein C (B)</p> Signup and view all the answers

What can cause thromboembolism according to the text?

<p>Roughened vessel surfaces associated with atherosclerosis (B)</p> Signup and view all the answers

What is the primary function of heparin in blood coagulation?

<p>Inhibits thrombin and activated factors X, XI, IX, and XII (A)</p> Signup and view all the answers

What is the main function of the coat of glycocalyx on the endothelial cell surface?

<p>Inhibits platelet aggregation and initiation of blood clotting (C)</p> Signup and view all the answers

What is the primary role of antithrombin III in preventing clot formation?

<p>Inhibits activated factors V and VIII (C)</p> Signup and view all the answers

Where do platelets originate in the body?

<p>Bone marrow (C)</p> Signup and view all the answers

What is the function of soluble oxalate and citrate ion outside the body?

<p>Decreases ionic calcium level to block blood coagulation (C)</p> Signup and view all the answers

What is the significance of thromboxane A2 in platelet plug formation?

<p>Inhibits platelet aggregation and initiation of blood clotting depending on slide 40 (D)</p> Signup and view all the answers

What is responsible for inhibiting platelet aggregation and initiation of blood clotting, according to Slide 40?

<p>A layer of glycocalyx on the endothelium (A)</p> Signup and view all the answers

What is the main factor responsible for preventing blood coagulation while it is circulating in the blood vessels?

<p>A layer of glycocalyx on the endothelium (B)</p> Signup and view all the answers

Which pathway requires activation of factor XII and release of platelet phospholipids?

<p>Intrinsic pathway (D)</p> Signup and view all the answers

What is the primary role of thrombin in blood coagulation?

<p>Converting fibrinogen into fibrin (C)</p> Signup and view all the answers

What is the main function of fibrous organization in hemostasis?

<p>Forming connective tissue all through the clot (A)</p> Signup and view all the answers

Which substance is among the most important anticoagulants in the blood, responsible for removing thrombin?

<p>Plasmin (C)</p> Signup and view all the answers

What does 'Thromboembolic' conditions generally refer to?

<p>Blood clots that obstruct blood vessels (B)</p> Signup and view all the answers

What is the main function of the aggregated platelet plug in hemostasis?

<p>Stopping bleeding until the vessel can be repaired (A)</p> Signup and view all the answers

What is responsible for inhibiting platelet aggregation and initiation of blood clotting, according to the text?

<p>Heparin (C)</p> Signup and view all the answers

What is the role of tissue factor in the extrinsic pathway of blood clotting?

<p>Formation of prothrombin activator (B)</p> Signup and view all the answers

What is the first event in hemostasis?

<p>Vascular constriction (C)</p> Signup and view all the answers

What is the function of activated factor X in the intrinsic pathway of blood coagulation?

<p>Combining with tissue phospholipids to form prothrombin activator (A)</p> Signup and view all the answers

What is responsible for inhibiting platelet aggregation and initiation of blood clotting, according to Slide 40?

<p>Antithrombin III (B)</p> Signup and view all the answers

What limits the explosive nature of the extrinsic pathway in blood coagulation?

<p>Blood trauma (C)</p> Signup and view all the answers

Platelets have a half-life in the blood of 5 to 7 days.

<p>False (B)</p> Signup and view all the answers

Platelets contain nuclei.

<p>False (B)</p> Signup and view all the answers

Platelets contain enzyme systems that synthesize insulin.

<p>False (B)</p> Signup and view all the answers

The coat of glycoproteins on platelet membranes causes adherence to normal endothelium only.

<p>False (B)</p> Signup and view all the answers

Platelets are eliminated from the circulation mainly by the liver.

<p>False (B)</p> Signup and view all the answers

Platelets contain large amounts of phospholipids that inhibit multiple stages in the blood-clotting process.

<p>False (B)</p> Signup and view all the answers

The edges of the broken blood vessel are pulled together by the retraction of the clot, contributing further to hemostasis.

<p>True (A)</p> Signup and view all the answers

Serum is blood plasma minus its fibrinogen and most of the other clotting factors.

<p>True (A)</p> Signup and view all the answers

Platelets contribute directly to clot contraction by activating platelet thrombosthenin, actin, and myosin molecules.

<p>True (A)</p> Signup and view all the answers

Most of the proteins involved in blood-clotting are inactive forms of proteolytic enzymes.

<p>True (A)</p> Signup and view all the answers

Prothrombin activator is usually considered to be the rate-limiting factor in causing blood coagulation.

<p>True (A)</p> Signup and view all the answers

Fibrin-stabilizing factor, also known as factor XIII, catalyzes the cross-linkage of fibrin to form a stable clot.

<p>True (A)</p> Signup and view all the answers

The intrinsic and extrinsic mechanisms usually operate simultaneously in response to tissue injury.

<p>True (A)</p> Signup and view all the answers

Clots are typically fully formed in 3 to 6 minutes.

<p>True (A)</p> Signup and view all the answers

The extrinsic pathway for blood coagulation requires fewer steps than the intrinsic pathway and occurs rapidly.

<p>True (A)</p> Signup and view all the answers

Thrombin is an enzyme with weak proteolytic capabilities and acts on fibrinogen to form fibrin monomer.

<p>True (A)</p> Signup and view all the answers

Fibrin monomer has the automatic capability to polymerize with other fibrin monomer molecules to form fibrin fibers.

<p>True (A)</p> Signup and view all the answers

Fibrinogen, a high-molecular-weight protein found in plasma, does not normally leak from blood vessels into interstitial fluids due to its large molecular size.

<p>True (A)</p> Signup and view all the answers

Blood clotting depends on the balance between procoagulants and anticoagulants.

<p>True (A)</p> Signup and view all the answers

Prostacyclin and nitric oxide (NO) promote platelet aggregation and initiation of blood clotting.

<p>False (B)</p> Signup and view all the answers

Heparin is normally found at a high concentration in the blood.

<p>False (B)</p> Signup and view all the answers

Siliconized containers prevent contact activation of platelets and Factor XII.

<p>True (A)</p> Signup and view all the answers

Thrombus refers to freely flowing clots in the blood vessels.

<p>False (B)</p> Signup and view all the answers

Roughened endothelial surfaces of blood vessels are unlikely to initiate the clotting process.

<p>False (B)</p> Signup and view all the answers

DIC (Disseminated Intravascular Coagulation) often results from the presence of large amounts of traumatized tissue releasing tissue factor into the blood.

<p>True (A)</p> Signup and view all the answers

T-PA (tissue plasminogen activator) is used when blood must be passed through a heart-lung machine or artificial kidney machine.

<p>False (B)</p> Signup and view all the answers

Prothrombin time (PT) measures the integrity of the intrinsic pathway of blood coagulation.

<p>False (B)</p> Signup and view all the answers

Activated thromboplastin time (aPTT) measures the integrity of the intrinsic pathway of blood coagulation.

<p>True (A)</p> Signup and view all the answers

Activated factor X inhibits thrombin in the intrinsic pathway of blood coagulation.

<p>False (B)</p> Signup and view all the answers

Thromboembolic conditions may be triggered by imbalances in the clotting–anticlotting systems.

<p>True (A)</p> Signup and view all the answers

The intrinsic pathway is much slower to proceed, usually requiring 1 to 6 minutes to cause clotting.

<p>True (A)</p> Signup and view all the answers

Tissue factor is composed especially of phospholipids from the membranes of the tissue plus a lipoprotein complex that functions mainly as a proteolytic enzyme.

<p>True (A)</p> Signup and view all the answers

The activated Factor X combines immediately with tissue phospholipids and Factor V to form the complex called prothrombin activator.

<p>True (A)</p> Signup and view all the answers

Activated factor V greatly accelerates the protease activity of the prothrombin activator complex.

<p>True (A)</p> Signup and view all the answers

The common sites of bleeding in newborns include the central nervous system, and sites of medical interventions such as circumcision, heel sticks, and venipunctures.

<p>True (A)</p> Signup and view all the answers

Hemophilia A and B are X-linked disorders that predominantly affect males.

<p>True (A)</p> Signup and view all the answers

Patients with more severe hemophilia are less likely to have spontaneous bleeding.

<p>False (B)</p> Signup and view all the answers

Thrombin has positive feedback effects: it accelerates the formation of prothrombinase, activates platelets, and acts in a positive-feedback fashion to facilitate its own formation.

<p>True (A)</p> Signup and view all the answers

In the absence of calcium ions, blood clotting by either pathway does not occur.

<p>True (A)</p> Signup and view all the answers

Fibrous organization or dissolution of the blood clot is an event of hemostasis.

<p>True (A)</p> Signup and view all the answers

A clot is meant to be a permanent solution to vessel injury.

<p>False (B)</p> Signup and view all the answers

Plasminogen when activated becomes a substance called plasmin (or fibrinolysin) which removes the remaining unnecessary blood clot.

<p>True (A)</p> Signup and view all the answers

The formation of a platelet plug is one of the events of hemostasis.

<p>True (A)</p> Signup and view all the answers

Thrombocytopenia can lead to increased bleeding time.

<p>True (A)</p> Signup and view all the answers

A break must be present in the vessel wall for bleeding to take place from a vessel.

<p>True (A)</p> Signup and view all the answers

Platelets do not adhere to the smooth endothelial lining of blood vessels under normal conditions.

<p>True (A)</p> Signup and view all the answers

Aspirin works by irreversibly inhibiting the enzyme cyclooxygenase (COX-1) which is required to make the precursors of thromboxane within platelets.

<p>True (A)</p> Signup and view all the answers

The clot begins to develop in 15 to 20 seconds if the trauma to the vascular wall is severe.

<p>False (B)</p> Signup and view all the answers

The aggregated platelet plug releases several powerful vasodilators that induce profound constriction.

<p>False (B)</p> Signup and view all the answers

Clot retraction occurs within a few hours after a clot is formed.

<p>False (B)</p> Signup and view all the answers

Platelets begin to contract and usually express most of the fluid from the clot within 20 to 60 minutes.

<p>True (A)</p> Signup and view all the answers

Fibrin fibers prevent further blood loss by adhering to damaged surfaces of blood vessels.

<p>True (A)</p> Signup and view all the answers

Hemostasis includes fibrous organization or dissolution of the blood clot as one of its events.

<p>True (A)</p> Signup and view all the answers

Fibrin threads are formed as a result of a series of chemical reactions culminating in clotting.

<p>True (A)</p> Signup and view all the answers

Flashcards are hidden until you start studying

Related Documents

Hematology-part-2 PDF

More Like This

Use Quizgecko on...
Browser
Browser