Physiology of Hemostasis - Crow
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Questions and Answers

What is the purpose of INR calculation?

  • To measure platelet count
  • To guide heparin dosing
  • To standardize PT results (correct)
  • To measure platelet function
  • Which of the following correlates with an ACT test?

  • Provides information on function of the extrinsic pathway
  • Normal value for standard patient is > 400 seconds
  • Guides warfarin dosing
  • More accurate than PTT if using a large dose of heparin (correct)
  • When should the ACT be measured after going on CPB?

  • Every 45 minutes after going on CPB
  • 3 minutes after going on CPB (correct)
  • 30 seconds after going on CPB
  • 60 seconds after going on CPB
  • What is the target INR for patients on warfarin?

    <p>Approximately 2-3 times more than the control</p> Signup and view all the answers

    Which of the following is correct regarding a Platelet Count?

    <p>Number of platelets in the body</p> Signup and view all the answers

    What is the primary role of platelets in hemostasis?

    <p>Forming a platelet plug</p> Signup and view all the answers

    Which of the following best describes the initial response to blood vessel damage in hemostasis?

    <p>Vascular spasm</p> Signup and view all the answers

    What is the main function of the fibrinolytic system in hemostasis?

    <p>Breaking down fibrin clots</p> Signup and view all the answers

    Which of the following involves the activation of tissue factor (TF) in hemostasis?

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

    What happens when there is no injury to blood vessels in terms of hemostasis?

    <p>Blood remains a liquid</p> Signup and view all the answers

    In which of the following vessels are hemostatic mechanisms less effective in dealing with bleeding?

    <p>Arteries</p> Signup and view all the answers

    What is the main role of the cell-based prothrombinase complex?

    <p>Convert prothrombin to thrombin</p> Signup and view all the answers

    Which of the following is a key function of thrombin in the coagulation process?

    <p>Convert fibrinogen to fibrin</p> Signup and view all the answers

    What is the role of the Factor VIIIa/IXa complex in the coagulation cascade?

    <p>Act as a cofactor for generation of large amounts of factor Xa</p> Signup and view all the answers

    What is the primary function of TFPI in the clotting process?

    <p>Neutralizes tissue factor</p> Signup and view all the answers

    Which of the following is a mechanism that limits the size of a clot in the coagulation process?

    <p>Activation of plasminogen</p> Signup and view all the answers

    How does the Fibrinolytic System regulate clot breakdown?

    <p>By turning off fibrinolysis when no longer needed</p> Signup and view all the answers

    What is the role of Factor XIII in the clotting cascade?

    <p>Stabilizes the fibrin meshwork</p> Signup and view all the answers

    Why are activated platelets considered essential for the clotting cascade?

    <p>They display receptors that bind clotting factors</p> Signup and view all the answers

    What is the function of thrombin in the clotting cascade?

    <p>Activates platelets</p> Signup and view all the answers

    In the classical clotting cascade, which pathway is activated when coagulation is initiated outside of the blood vessels?

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

    What occurs at the endpoint of both intrinsic and extrinsic pathways in the clotting cascade?

    <p>Thrombin production</p> Signup and view all the answers

    Which enzyme is synthesized in the liver and is inactive until needed to digest fibrin?

    <p>Plasminogen</p> Signup and view all the answers

    What is the role of tPA inhibitor (tPAI) in the fibrinolysis process?

    <p>Inhibits the conversion of plasminogen to plasmin</p> Signup and view all the answers

    Which test assesses the intrinsic and final common pathway of coagulation?

    <p>Activated Partial Thromboplastin Time (aPTT)</p> Signup and view all the answers

    What is the mechanism by which plasmin degrades fibrin?

    <p>It degrades fibrin into FDPs</p> Signup and view all the answers

    Which factor must be reduced by more than 30% before a change in Prothrombin Time (PT) is observed?

    <p>Factors in the extrinsic pathway</p> Signup and view all the answers

    What does Alpha-2 antiplasmin do in the context of fibrinolysis?

    <p>Inhibits the action of plasmin on fibrin</p> Signup and view all the answers

    INR stands for International Normalization Ratio.

    <p>True</p> Signup and view all the answers

    The normal value of INR is around 3.

    <p>False</p> Signup and view all the answers

    Activated Clotting Time (ACT) is measured after heparin administration only.

    <p>False</p> Signup and view all the answers

    Platelet Count measures the function of platelets.

    <p>False</p> Signup and view all the answers

    ACT should be greater than 400 seconds before going on CPB.

    <p>True</p> Signup and view all the answers

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