Endothelial Secretion Response to Thrombin Quiz
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Questions and Answers

What is one possible cause of platelet dysfunction mentioned in the text?

  • Increased release of arachidonic acid from membrane phospholipids
  • Increased contents of dense granules and alpha granules
  • Loss of platelet surface membrane a-adrenergic (epinephrine) receptors (correct)
  • Increased oxidation of arachidonic acid by the cyclooxygenase and lipoxygenase pathways
  • How does nitric oxide (NO) affect platelet aggregation according to the text?

  • Nitric oxide increases the production of arachidonic acid
  • Nitric oxide stimulates platelet aggregation
  • Nitric oxide has no effect on platelet aggregation
  • Nitric oxide inhibits platelet aggregation (correct)
  • What is the relationship between chronic liver disease and thrombocytopenia according to the text?

  • Chronic liver disease causes thrombocytopenia only in patients with hypersplenism
  • Chronic liver disease is not associated with thrombocytopenia
  • Chronic liver disease always causes severe thrombocytopenia
  • Mild to moderate thrombocytopenia is seen in approximately one third of patients with chronic liver disease (correct)
  • What is one potential cause of thrombocytopenia and platelet abnormalities in chronic alcoholic cirrhosis according to the text?

    <p>Direct toxic effects of alcohol on bone marrow megakaryocytes</p> Signup and view all the answers

    Which of the following is not mentioned as a possible cause of platelet dysfunction in the text?

    <p>Increased loss of a variety of platelet membrane receptors for adhesion and activation</p> Signup and view all the answers

    Which of the following is a potential cause of thrombocytopenia in liver disease?

    <p>Hypersplenism or alcohol toxicity</p> Signup and view all the answers

    What is the main purpose of the Anticoagulant Protein System?

    <p>To regulate all enzymes of the coagulation and fibrinolytic systems</p> Signup and view all the answers

    What is the primary function of the Fibrinolytic Protein System?

    <p>To lyse the clot formed by thrombin</p> Signup and view all the answers

    What is the role of fibrinogen in the consolidation and stabilization of the platelet plug?

    <p>Fibrinogen provides a basis for platelet consolidation and stabilization by precipitating polymerized fibrin around each platelet.</p> Signup and view all the answers

    Which of the following is not a component of the Cellular Components involved in Normal Hemostasis and Thrombosis?

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

    What is the primary function of the Coagulation Protein System?

    <p>To serve as the system that forms thrombin, which initiates the proteolysis of fibrinogen, leading to fibrin clot formation</p> Signup and view all the answers

    Which of the following is a method for the quantitative determination of platelets?

    <p>Examination of stained blood</p> Signup and view all the answers

    What is the purpose of using thromboplastin reagent in the functional screening test mentioned in the text?

    <p>To assess the generation of thrombin and the formation of fibrin</p> Signup and view all the answers

    How is thromboplastin reagent prepared for the functional screening test?

    <p>By tissue extraction from rabbit brain or lung</p> Signup and view all the answers

    Which factor does thromboplastin form complexes with and activate?

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

    What is the reference range for the International Normalized Ratio (INR) mentioned in the text?

    <p>10-13</p> Signup and view all the answers

    What was developed to standardize the sensitivity differences in individual thromboplastin reagents?

    <p>International Sensitivity Index</p> Signup and view all the answers

    Which syndrome is characterized by congenital absence of the radial bones?

    <p>Thrombocytopenia with absent Radii Syndrome (TAR)</p> Signup and view all the answers

    Where are alpha granules found in the body?

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

    What is a characteristic feature of Hermansky-Pudlak Syndrome?

    <p>Partial oculocutaneous albinism</p> Signup and view all the answers

    Which syndrome is associated with giant lysosomal granules in cells?

    <p>Chédiak-Higashi Syndrome</p> Signup and view all the answers

    What is a common feature of Chédiak-Higashi Syndrome?

    <p>Immunologic defects</p> Signup and view all the answers

    Which disorder presents with ceroid-like deposition in reticuloendothelial cells?

    <p>Hermansky-Pudlak Syndrome</p> Signup and view all the answers

    What is the role of tissue plasminogen activator (tPA) in the fibrinolytic system?

    <p>tPA converts inactive plasminogen to plasmin, which then lyses fibrin.</p> Signup and view all the answers

    What are the products formed during the process of fibrinolysis?

    <p>D-dimers and cross-linked fibrin degradation products (XDP)</p> Signup and view all the answers

    What is the primary function of the natural anticoagulants in the hemostatic system?

    <p>To ensure that the clot remains localized to the site of injury and prevent excessive clotting</p> Signup and view all the answers

    What is the first step in the process of platelet-mediated hemostasis?

    <p>Platelet adhesion to the injured blood vessel wall</p> Signup and view all the answers

    Which of the following statements regarding endothelial cells and the fibrinolytic system is correct?

    <p>In response to thrombin, endothelial secretion of tPA increases, promoting fibrinolysis.</p> Signup and view all the answers

    What is the primary role of platelets in the hemostatic process?

    <p>To adhere to the site of vascular injury, aggregate, and form a platelet plug</p> Signup and view all the answers

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