Hemostasis and Inflammation Quiz

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Questions and Answers

What is the primary effect of increased vascular permeability during inflammation?

  • Decreased white blood cell migration to the tissue site
  • Increased fluid leakage from blood vessels to the tissue site (correct)
  • Constriction of blood vessels
  • Reduced fluid leakage from blood vessels

Which of the following is NOT a chemotactic mediator involved in the inflammatory response?

  • Histamine (correct)
  • Leukotrienes
  • Neutrophil chemotactic factor
  • Eosinophil chemotactic factor

What is the process called when white blood cells migrate through the inner walls of blood vessels to the tissue site during inflammation?

  • Diapedesis (correct)
  • Vasodilation
  • Leukocytosis
  • Chemotaxis

Which process is responsible for increasing the number of white blood cells in the blood during inflammation?

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

How do chemotactic mediators facilitate the inflammatory response?

<p>By recruiting white blood cells to an inflammation site (D)</p> Signup and view all the answers

What is the primary function of the intrinsic pathway in hemostasis?

<p>To activate factor X through internal vessel wall damage. (D)</p> Signup and view all the answers

Which event directly follows the activation of factor X in the coagulation process?

<p>Conversion of fibrinogen to fibrin. (C)</p> Signup and view all the answers

What is the significance of vasodilation in the inflammatory response?

<p>It facilitates increased blood flow to the injured area, enabling the delivery of important cells and nutrients. (B)</p> Signup and view all the answers

Which vasoactive chemical mediator is released by mast cells during the inflammatory process?

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

What is the direct effect of histamine on arterioles?

<p>Increased blood flow due to vasodilation. (B)</p> Signup and view all the answers

What is the effect of increased vascular permeability on the endothelium?

<p>Endothelial cells become more porous, enlarging spaces between them. (C)</p> Signup and view all the answers

Which of the following does NOT directly result from vasodilation?

<p>Decreased blood flow to the injured area. (A)</p> Signup and view all the answers

What is the primary purpose of clot formation in hemostasis?

<p>To slow blood flow, promote walling off of the injury and provide a meshwork for healing. (C)</p> Signup and view all the answers

Flashcards

Increased vascular permeability

The process by which blood vessels become more permeable, allowing fluid and white blood cells to leak out into surrounding tissues. This is a crucial step in the inflammatory response.

Vasoactive mediators

Chemical messengers, such as histamine, bradykinin and leukotrienes, that trigger increased vascular permeability during inflammation.

Chemotaxis

The movement of white blood cells from the bloodstream to the site of inflammation, attracted by chemical signals.

Diapedesis

The process by which white blood cells squeeze through the walls of blood vessels, entering the surrounding tissues.

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Leukocytosis

White blood cell count increases in response to inflammation, triggered by certain factors.

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Hemostasis (coagulation)

The process of blood clotting, involving a series of steps to form a solid clot to stop bleeding. It involves two pathways: intrinsic and extrinsic, which converge at the activation of factor X, leading to fibrinogen conversion to fibrin for clot formation.

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Vasodilation

A vascular response that widens blood vessels, allowing more blood to flow to a specific area. This is a vital component of the inflammatory response.

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Vasoactive chemical mediator

A substance that alters the diameter of blood vessels, either widening (dilation) or narrowing (constriction).

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Histamine

A chemical mediator released by mast cells during inflammation, causing vasodilation and increased vascular permeability.

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Endothelial cells

The cells that form the inner lining of blood vessels.

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Mast cells

Specialized cells in the body that contain granules of chemical mediators, such as histamine. They are found in various areas like the skin and lining of the digestive and respiratory tracts.

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Degranulation

The process of releasing the contents of the granules stored inside a cell, typically triggered by stimuli.

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Study Notes

Hemostasis (Coagulation)

  • Two pathways: intrinsic and extrinsic
  • Intrinsic pathway activated by internal vessel wall damage
  • Extrinsic pathway initiated by tissue factor released from external trauma
  • Both pathways converge on factor X activation
  • Factor X converts fibrinogen to fibrin, forming a clot
  • Clot slows blood flow, isolates injury, and provides a healing meshwork

Vasodilation

  • Vasodilation is a key vascular response in inflammation.
  • Increased vessel diameter allows more blood flow to injured tissue, bringing oxygen, nutrients, and white blood cells.
  • Redness and warmth are signs of localized inflammation due to vasodilation.
  • Vasoactive chemical mediators, like histamine, bradykinin, complement proteins, leukotrienes, and prostaglandins, promote vasodilation.

Histamine and Mast Cells

  • Mast cells are granulated cells in skin, digestive lining, and respiratory tract.
  • Degranulation releases inflammatory chemical mediators, including histamine.
  • Histamine is a vasoactive amine, causing vascular effects.
  • Histamine causes vasodilation (increased blood flow) in arterioles.

Increased Vascular Permeability and Leakage

  • Increased vascular permeability means blood vessels become leakier.
  • Endothelial cells (lining blood vessels) loosen, allowing fluid to leak into tissue.
  • This explains edema (swelling).
  • Chemical mediators like bradykinin, leukotrienes, and histamine also increase permeability.

White Blood Cell Adherence and Migration

  • Leukocytosis-inducing factors increase white blood cell count.
  • Chemotactic mediators recruit white blood cells to the site (chemotaxis).
  • White blood cells adhere to vessel walls and migrate to the tissue via diapedesis.
  • Histamine release includes chemotactic factors (neutrophil and eosinophil chemotactic factors) attracting neutrophils and eosinophils.

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