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48 Cards in this Set

  • Front
  • Back

The cleavage of the fibrin strand is called?

Fibrinolysis

The action of antithrombin III is?

Neutralizes thrombin and factors IXa, Xa, XIa, and XIIa

The final stage of hemostatic balance is?

Fibrinolysis of the formed clot

Factor XIIa, HMWK and prekallikrein are classified as what?

Serien proteases

The prothrombin group are dependent on the presence of 10 - 12 glutamic acid units on the N-termini. Production of these proteins in the liver is dependent on what nutritional component?

Vitamin K

What factors are activated by thrombin?

VII

What is a SERPIN?

Serine Protease Inhibitors

What are some SERPINs associated with coagulation?

alpha 1-antitripsin, antithrombin and heparin

What is secondary hemostasis?

Activation of the coagulation system

Where are most of the coagulation factors symphasised?

The liver

What factor binds readily after desqumaintion?

???

What is the factor that is a transglutamse and catlayses the cross linking of fibrin strands?

Factor XIII

What is the target of VIIa?

IX

Q13

Q13

What dose the glutamic acid in prothrombin do?:

Binds calcium

What kind of protean are most coagulation factors?

Serene protease.

Q16

Q16

How is protein C activated?

binding of the thrombin-thrombomodulin complex

What is the function of Heparin?

Increase the function of antithrombin III

What do the coagulation cascade co-factors do?

Boost serene protease stability and function

What is targeted by the protein C-S complex?

factor Va and VIIIa

What is the target of IXa?

X

What inhibits the tissue factor path way?

Binding of TFPI to the Xa-VIIa complex

What are the cogaulation co-factors?

??? (Ca and vitamin K?)

What factor dose von Willebrand factor bind and why?

VIII to increase how long it spend in the blood

What molecule is needed for a serene protease to function?

calcium (Ca2++)

What is needed to activate factor X and what dose it do?

Phospholipid, Ca2++ and Va



It's activation leads to the conversion of prothrombin to thrombin

How do endothelial cells prevent platelet adhesion?

They secret prostacyclin

What happens during primary hemostasis?

Vasoconstriction and the formation of a white platelet

What dose a serene protease need to bind in order to function?

A negativley charged phospholipid surface

What factors are involved with the common coagulation path?

X, V, prothrombin, firbinogin

Q31

Q31

Q1

Q1

A patient with the mutation Prothrombin G202010A is more likely to?

Clot inapropriatly

Inthe presence of a lupus anticoagulant, the correction of the PTT activated by RVV or Kaolin is accomplished by the addition of?

Excess phospholipids

What is the action warfarin?

It is an antagonist for vitamin K

If a PTT is prolonged, the laboratorian may use DRVVT as the next diagnostic test. If the addition of normal plasma (mixing study 1:1) does not correct the PTT, it is likely that the patient has?

A lupus anticoagulant

What is likely to happen in patients with factor V leiden mutation?

They will clot inapporpiatly

What dose a high protein C concentration cause in a protein C clotting assay?

A longer clot time

The condition in which fibrin microthrombi partially occlude small vessels and lead to consumption of platelet, coagulation factors, control proteins and fibrinolytic enzymes is?

disseminated intravascular coagulation

One of the coagulation factors, if elevated, makes the blood more viscous which favors platelet activation and coagulation. That factor is?

Fibrinogin

Patients with antiphospholipid antibodies will?

Clot innapropriatly.

What factors dose antithrombin III neutralize?

IXa, Xa, XIa, XIIa

What is likely to happen in patients with an antithrombin deficiency?

Clotting

What is the function of protein S?

Stabalize protein C

What is the function of the protein S-C complex?

Inactivate Va and VIIa

What would be the result of a deficnecy in either protein S or C?

bad clotting

ndji

cbis