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Hematology Coagulation Mechanism (Secondary Hemostasis)
Exam 6 Lecture 34 Rodak Chapters 40
69
Biology
Undergraduate 3
11/19/2014

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Term
The system through which coagulation factors interact to eventually form a fibrin clot
Definition
Fibrin-forming System
Term
The purpose of the fibrin clot formation is to
Definition
reinforce the platelet plug
Term
Fibrin clot - ____ ___
Definition
Secondary hemostasis
Term
Platelet Plug - ___ ___
Definition
Primary hemostasis
Term
T or F:
ALL Plasma coagulation factors are proteins
Definition
False
Exception is Factor IV - Calcium
Term
T or F:
Most Plasma coagulation factors are produced in the liver
Definition
True
Term
Vitamin K group - Factors are (4)
Definition
II
VII
IX
X
Term
Vitamin K acts as a ____ for the last stage of production of these factors
Definition
catalyst
Term
If Vitamin K is deficient from diet or destroyed in the gut flora, factors ___ ___ ___ properly
Definition
will not function
Term
In a Vitamin K Deficiency ___ is present but not ____
Definition
Quantity
Quality
Term
Consumable group - Factors are (4)
Definition
I
V
VIII
XIII
Term
Consumable group Factors are bound in the
Definition
clot formation
Term
T or F:
Consumable group factors are consumed during coagulation
Definition
True
Term
Are Consumable group factors present in the serum?
Definition
NO
Term
Which Factors are labile in the plasma?
Definition
V
VIII
Term
Factors XI, XII plus Prekalikrein and HMWK are part of what group?
Definition
Contact group
Term
What does the contact group initiate?
Definition
coagulation
fibrinolysis
inflammation
Term
How are the contact group activated?
Definition
by contact with collagen and basement membranes of subendothelial tissue
Term
Fibrinogen
Definition
Factor I
Term
Prothrombin
Definition
Factor II
Term
Tissue thromboplastin (tissue factor)
Definition
Factor III
Term
Calcium
Definition
Factor IV
Term
Labile Factor (proaccelerin)
Definition
Factor V
Term
Stable factor (serum prothrombin conversion accelerator)
Definition
Factor VII
Term
Anti-hemolytic factor (AHF)
Definition
Factor VIII
Term
Christmas Factor (Plasma thromboplastin component)
Definition
Factor IX
Term
Stuart-Prower Factor
Definition
Factor X
Term
Plasma thromboplastin antecedent
Definition
Factor XI
Term
Hageman factor (conatact factor)
Definition
Factor XII
Term
Fibrin stabilizing factor
Definition
Factor XIII
Term
High molecular weight kininogen
Definition
Fitzgerald Factor
Term
Pre-kallikrein
Definition
Fletcher Factor
Term
The process of blood coagulation involves a series of biochemical reactions that transforms circulating blood into an insoluble gel through conversion of soluble fibrinogen to fibrin
Definition
Coagulation Cascade Theory
Term
Once the cascade starts, each factor acts as a ____ and then as a ___ ___
Definition
substrate
proteolytic enzyme
Term
Intrinsic pathway requires (4)
Definition
Collagen
Calcium
PF3 phospholipid from the PLT
Factor XII is first activated
Term
Which factor needs to be activated first for the Intrinsic pathway to occur?
Definition
XII
Term
Extrinsic pathway requires(2)
Definition
Calcium
Tissue thromboplastin to activate factor VII
Term
____ is the cofactor for both pathways
Definition
Calcium
Term
Common pathway is which factors
Definition
X
V
II
I
Term
Factors ___ to ___ cause factor ____ to go to thrombin
Definition
X
V
II
Term
Factor ___ makes fibrin insoluble
Definition
XIII
Term
The end result of activation of either the intrinsic or extrinsic pathway is the generation of _____
Definition
thrombin
Term
Thrombin converts what to what?
Definition
soluble fibrinogen to insoluble fibrin
Term
T or F:
Fibrin comprises the fibrin-clot
Definition
True
Term
Has a central role in the bioregulation of hemostasis in both normal and pathologic conditions
Definition
Thrombin
Term
Converts Fibrinogen to fibrin
Activates factor XIII
Enhances activity of factors V and VIII
Induces platelet aggregation
Plasminogen is converted to plasmin
Definition
Thrombin
Term
Thrombin is a ____ _____ that cleaves bond on the ___ ___
Definition
proteolytic enzyme
fibrinogen molecule
Term
Fibrin monomers now polymerize by _____ bonding to form a ____ clot
Definition
hydrogen
soluble
Term
Fibrin now covers the platelet plug to make it _____ and ___ ___ blood from escaping from the vessel
Definition
stronger
prevents more
Term
Factor XII will also activate the ___ ___ and _______
Definition
kinin system
fibrinolysis
Term
Produces bradykinins
Definition
Kinin System
Term
Aid in vasoconstriction
lowers blood pressure
produces local pain
increases capillary permeability that aids in inflammation
Definition
Bradykinins
Term
______ migrate to area of inflammation
Definition
Leukocytes
Term
Process of destroying the clot starts as soon as the ___ ___
Definition
clot forms
Term
Factor XII and vessel partially activate _____
Definition
fibrinolysis
Term
Function of Fibrinolysis
Definition
Prevention of Too Much Clotting
Term
6 Inhibitors that help to prevent too much clotting
Definition
Blood flow
Anti-thrombin III
Alpha 1 antitrypsin
Alpha 2 macroglobulin
Protein C
Protein S
Term
____ clears activated proteins
Definition
Liver
Term
Clotting occurs only on the ___ ___
Definition
platelet surface
Term
T or F:
The rest of the blood is unaffected by clotting on the platelet surface
Definition
True
Term
Protein C and S:
These proteins degrades factors __ and ___ through interaction with a vessel substance called ____ as well as ____
Definition
V
VIII
Thrombomodulin
Thrombin
Term
2 Parts to Factor VIII
Definition
VIII:vWF
VIII:C
Term
Which part of Factor VIII is large?
Definition
VIII:vWF
Term
Which part of Factor VIII is small?
Definition
VIII:C
Term
Produced by endothelial cells and megakaryocytes
Responsible for platelet adhesion
Controlled by autosomal inheritance
Definition
VIII:vWF
Term
Produced by the liver
Used in the intrinsic pathway
Controlled by sex-linked inheritance
Definition
VIII:C
Term
____ stimulated the production of VIII:C
Definition
VWF
Term
If vWF is low or absent, VIII:C is also low, this is observed in
Definition
Von Willebrand's Disease
Term
T or F:
Fibrin can be formed by two pathways that activate fibrinogen to fibrin
Definition
True
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