Understanding Hemostasis Process

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Questions and Answers

What is the initial response to injury in the process of hemostasis?

  • Platelet Plug Formation
  • Vascular Spasm (correct)
  • Platelet Adhesion
  • Blood Coagulation

What is released by damaged endothelial cells to aid in platelet adhesion during plug formation?

  • Thromboxane A2
  • Fibrinogen
  • Von Willebrand factor (vWF) (correct)
  • ADP

What do adhered platelets release during the release reaction in plug formation?

  • ADP (correct)
  • Fibrinogen
  • Von Willebrand factor (vWF)
  • Thromboxane A2

What activates the intrinsic pathway of blood coagulation?

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

What do injured tissues release to initiate the extrinsic pathway of blood coagulation?

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

Which factor combines with other factors to form thrombin during blood coagulation?

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

What leads to the formation of a temporary 'platelet plug' that covers the breach in the vessel wall?

<p>Platelet aggregation through fibrinogen bridges (D)</p> Signup and view all the answers

What is the role of thrombin in blood coagulation?

<p>It converts soluble fibrinogen into insoluble fibrin threads (B)</p> Signup and view all the answers

What is the function of clot retraction?

<p>Platelets contract, pulling torn areas of the blood vessel together and reducing the clot size (A)</p> Signup and view all the answers

What is the purpose of negative feedback mechanisms in hemostasis?

<p>To prevent excessive clot formation and avoid vessel occlusion (D)</p> Signup and view all the answers

What is the function of anticoagulant Heparin?

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

What is the effect of positive feedback during platelet activation?

<p>Amplifies platelet activation at the site of injury (C)</p> Signup and view all the answers

What is the primary role of fibrin threads in blood coagulation?

<p>Form a mesh that traps blood cells, creating a stable clot (D)</p> Signup and view all the answers

What is the function of protein C and S in hemostasis?

<p>Inactivate factors Va and VIIIa. (B)</p> Signup and view all the answers

What is the primary role of anticoagulant Antithrombin?

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

How do negative feedback mechanisms contribute to hemostasis?

<p>Prevent excessive clot formation and avoid vessel occlusion. (C)</p> Signup and view all the answers

What is the effect of positive feedback during promotion of hemostasis?

<p>Amplifies platelet activation at the site of injury. (C)</p> Signup and view all the answers

Flashcards

Hemostasis

Blood vessel constriction, platelet plug formation, blood coagulation, and eventual repair.

Platelet Adhesion and Release

vWF and collagen aid platelet adhesion; platelets release granules (serotonin, ADP, thromboxane A2) to recruit more platelets.

Blood Coagulation Pathways

Intrinsic pathway: activated by contact of blood with collagen. Extrinsic pathway: initiated by tissue factor (TF) released from injured tissues.

Platelet Plug Formation

Platelet adhesion and aggregation form a temporary plug to cover the breach in the vessel wall.

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Thrombin's Role

Converts fibrinogen to fibrin, forming a mesh that traps platelets and blood cells.

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Clot Retraction

Platelets contract, pulling wound edges together, stabilizing the clot, reducing blood loss, and promoting repair.

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Negative Feedback Mechanisms

Regulate hemostasis, prevent excessive clotting or bleeding.

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Heparin

Inhibits thrombin and factor Xa; prevents excessive clotting.

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Antithrombin

Neutralizes thrombin, preventing clot formation.

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Positive Feedback Mechanisms

Recruits more platelets, amplifying the response. Can lead to thrombosis if unregulated.

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Fibrin Threads

Provide a scaffold, trapping platelets and blood cells.

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Protein C and S

Inhibit excessive clotting by inactivating clotting factors.

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Study Notes

Hemostasis Process

  • Initial response to injury: Blood vessel constriction, platelet plug formation, blood coagulation, and eventual repair

Platelet Adhesion and Plug Formation

  • Damaged endothelial cells release von Willebrand factor (vWF) and collagen to aid in platelet adhesion
  • Adhered platelets release granules containing serotonin, ADP, and thromboxane A2 during the release reaction, which recruits more platelets

Blood Coagulation Pathways

  • Intrinsic pathway activated by contact of blood with collagen or subendothelial tissues
  • Injured tissues release tissue factor (TF) to initiate the extrinsic pathway
  • Factor X combines with other factors to form thrombin during blood coagulation

Platelet Plug Formation

  • Platelet adhesion and aggregation lead to the formation of a temporary 'platelet plug' that covers the breach in the vessel wall

Thrombin's Role in Blood Coagulation

  • Thrombin converts fibrinogen to fibrin, forming a fibrin mesh that traps platelets and blood cells

Clot Retraction and Stabilization

  • Clot retraction: platelets contract, pulling the edges of the wound together, promoting healing
  • Function: stabilizes the clot, reduces blood loss, and promotes repair

Negative Feedback Mechanisms

  • Purpose: regulate hemostasis, prevent excessive clotting or bleeding
  • Example: thrombin inhibits platelet activation, reducing further thrombin generation

Anticoagulants

  • Heparin: inhibits thrombin and factor Xa, preventing excessive clotting
  • Antithrombin: neutralizes thrombin, preventing clot formation

Positive Feedback Mechanisms

  • Platelet activation: recruits more platelets, amplifying the response
  • Effect: promotes hemostasis, but can lead to thrombosis if unregulated

Fibrin Threads and Protein C and S

  • Fibrin threads: provide a scaffold for clot formation, trapping platelets and blood cells
  • Protein C and S: inhibit excessive clotting by inactivating clotting factors

Contribution to Hemostasis

  • Negative feedback mechanisms: regulate hemostasis, prevent excessive clotting or bleeding, and promote repair

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