Coagulation Regulatory Mechanisms in Hematology

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18 Questions

TFPI:Xa binds to TF: FVIIa complex.

False

Thrombomodulin-thrombin complex triggers the protein S system.

False

Protein S lacks protease activity.

True

APC dissociates from EPCR and interacts with PC in a 2:1 stoichiometric complex.

False

TF pathway is shut off as soon as a small amount of FXa is generated.

False

Protein S forms two main types: Free PS and Protein C-bound PS.

True

Tissue Factor Pathway Inhibitor (TFPI) is the principal regulator of the protein C regulatory system.

False

Antithrombin does not require protein Z, phospholipid & Ca++ to inhibit FXIa.

True

Antithrombin (AT) is synthesized in the liver and activated by the presence of excess thrombin.

False

The protein C regulatory system ensures that coagulation is widespread throughout the body.

False

Protein Z is synthesized in the liver and is a proteolytic enzyme.

False

Thrombin-thrombomodulin complex revises the function of thrombin from an anticoagulant to a procoagulant.

False

Heparin cofactor II (HCII) targets thrombin and does not require heparin.

False

Tissue Factor Pathway Inhibitor (TFPI) induces a conformational change of Antithrombin (AT) to allow binding of activated coagulation factors.

False

TFPI binds to heparan sulfate and releases TFPI by 7x Domain.

False

The reaction activity of Antithrombin is independent of the length of the heparin chain it binds to.

False

Kunitz-type serine protease inhibitor is a component of the Tissue Factor Pathway Inhibitor (TFPI).

True

Protein C Inhibitor targets thrombin as one of the serine proteases it inhibits.

True

Explore the regulatory mechanisms of the protein C system in blood coagulation. Learn about inhibitors and co-factors that maintain a balance between thrombosis and abnormal bleeding, slow down procoagulant activation, suppress thrombin production, and prevent excessive clotting.

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