Prothrombin (Factors 2, 7, 9, 10) Quiz
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Questions and Answers

What triggers vasoconstriction right after tissue injury?

  • Cold compress (correct)
  • Hot compress
  • Biliverdin
  • Protoporphorin IX
  • Which factor is deficient in Hemophilia A?

  • Factor 13
  • Factor 8 (correct)
  • Factor 1
  • Factor 5
  • What enzymatically converts plasminogen into plasmin?

  • Protein C
  • Plasminogen inhibitor PAI-1
  • Tissue plasminogen activator (correct)
  • Anti-plasmin
  • Platelet adhesion is part of which hemostasis system?

    <p>Primary hemostasis</p> Signup and view all the answers

    Which factor is NOT part of the fibrinogen group in the coagulation system?

    <p>Factor 5</p> Signup and view all the answers

    What clears fibrin split products in the fibrinolytic system?

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

    Which factor is preserved in plasma & serum and undergoes gammacarboxylation for calcium bridge formation?

    <p>Factor 2</p> Signup and view all the answers

    What is the main source of Vitamin K that is essential for the synthesis of clotting factors?

    <p>Normal flora</p> Signup and view all the answers

    Which of the following diseases can lead to decreased synthesis of factors 5 & 8 due to defective Vitamin K absorption?

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

    What inhibits the activation of factors 5 & 8, causing hypercoagulation?

    <p>Protein C and S</p> Signup and view all the answers

    Which substance mediates vasoconstriction by acting on smooth muscles of the basement membrane during hemostasis?

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

    What plays a role in forming calcium bridges important for clotting, requiring calcium as a cofactor?

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

    What is the primary mechanism of coagulation in vivo?

    <p>Activation of Factor VII into FVIIa</p> Signup and view all the answers

    Which factor is activated upon exposure to a negatively charged surface like glass or kaolin, initiating the contact phase of coagulation?

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

    What role does tissue plasminogen activator play in hemostasis?

    <p>Degrades the fibrin clot formed during coagulation</p> Signup and view all the answers

    What is the enzyme responsible for activating FX in the common pathway?

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

    How is the temporary fibrin clot systematically and gradually dissolved during wound healing?

    <p>By plasminogen activation to plasmin</p> Signup and view all the answers

    Which protein plays a role in both coagulation and fibrinolysis concurrently to restore blood flow?

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

    Study Notes

    Hemostasis and Coagulation

    • Vasoconstriction is triggered by thromboxane A2 and endothelin right after tissue injury.
    • Hemophilia A is deficient in Factor VIII (Anti-hemophilic Factor).
    • Tissue plasminogen activator (t-PA) enzymatically converts plasminogen into plasmin.
    • Platelet adhesion is part of the primary hemostasis system.
    • Factor V is NOT part of the fibrinogen group in the coagulation system.
    • Fibrin split products are cleared by the fibrinolytic system.

    Vitamin K and Clotting Factors

    • Vitamin K is essential for the synthesis of clotting factors, and the main source is dietary.
    • Defective Vitamin K absorption due to biliary obstruction or fat malabsorption can lead to decreased synthesis of factors 5 & 8 in diseases like cholestasis.

    Regulation of Coagulation

    • Antithrombin III inhibits the activation of factors 5 & 8, causing hypercoagulation.
    • Endothelin mediates vasoconstriction by acting on smooth muscles of the basement membrane during hemostasis.
    • Calcium plays a crucial role in forming calcium bridges important for clotting, requiring calcium as a cofactor.

    Coagulation Mechanisms

    • The primary mechanism of coagulation in vivo is the extrinsic pathway.
    • Factor XII is activated upon exposure to a negatively charged surface like glass or kaolin, initiating the contact phase of coagulation.
    • Tissue plasminogen activator plays a role in fibrinolysis, breaking down fibrin clots.

    Fibrinolysis and Wound Healing

    • The temporary fibrin clot is systematically and gradually dissolved during wound healing through the fibrinolytic pathway.
    • Plasminogen activator inhibitor-1 (PAI-1) is the enzyme responsible for activating FX in the common pathway.
    • Thrombomodulin plays a role in both coagulation and fibrinolysis concurrently to restore blood flow.

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    Description

    Test your knowledge on prothrombin and Vitamin K-dependent factors involved in blood clotting. Learn about the preservation of these factors in plasma and serum, the process of gammacarboxylation, and the main dietary sources of Vitamin K.

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