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

Which of the following is correct regarding a Platelet Count?

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

What is the primary role of platelets in hemostasis?

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

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

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

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

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

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

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

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

<p>Convert prothrombin to thrombin (A)</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 (D)</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 (B)</p> Signup and view all the answers

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

<p>Neutralizes tissue factor (A)</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 (B)</p> Signup and view all the answers

How does the Fibrinolytic System regulate clot breakdown?

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

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

<p>Stabilizes the fibrin meshwork (D)</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 (C)</p> Signup and view all the answers

What is the function of thrombin in the clotting cascade?

<p>Activates platelets (D)</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 (D)</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 (A)</p> Signup and view all the answers

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

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

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

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

What is the mechanism by which plasmin degrades fibrin?

<p>It degrades fibrin into FDPs (B)</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 (A)</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 (A)</p> Signup and view all the answers

INR stands for International Normalization Ratio.

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

The normal value of INR is around 3.

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

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

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

Platelet Count measures the function of platelets.

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

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

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

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