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Hemostasis and its Regulation
Clinical Medicine Test 5
14
Medical
Graduate
11/03/2010

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Cards

Term
What is the adhesion process of the platelet plug formation?
Definition
binding of platelet surface GP1B to vWF
Term
What forms a bridge between platelets?
Definition
fibrinogen
Term
What is released from activated platelets to aid in recruitment for clot formation?
Definition
1) ADP
2) Serotonin
Term
What is the primary physiologic event that initiates clotting?
Definition
exposure of tissue factor at wound site
Term
Which is the only procoagulant that is not synthesized in the liver and where is it synthesized?
Definition
vWF
megakaryocytes
Term
What are seven control mechanisms that modulate hemostasis?
Definition
1) Antithrombin III-Heparin sulfate system
2) Protein C/S thrombomodulin system
3) Tissue Factor Pathway inhibitor
4) Prostacyclin (PGI2)
5) Nitric Oxide
6) Ecto-ADPase (CD39)
7) Fibrinolysis
Term
What does t-PA do?
Definition
converts plasminogen to plasmin which facilitates local fibrinolysis
Term
How is each pathway regulated?
1) TF/Factor VIIa
2) Thrombin
3) t-PA activity
4) Thrombin and plasmin
Definition
1) TFPI/factor Xa complex
2) Protein C and S
3) plasminogen activator inhibitor 1
4) antithrombin III for thrombin regulation and alpha2 antiplasmin to regulate plasmin
Term
How long do platelets survive and what is there half life?
Definition
surive for 8.5-10 days and half life of 4 days
Term
What does the PTT test?
Definition
intrinsic coag system (before factor X activation)
Term
What does the PT measure?
Definition
extrinsic system (coumadin)
Term
D-dimer is a specific measure of intravascular fibrin deposition and plasmin degradation characteristic of what?
Definition
DIC
Term
Mixing study results tell you what?
Definition
If mixture corrects clotting abnormality - factor deficiency

Still has prolonged clotting time- inhibitor is present
Term
What are the 4 vitamin K Dependant clotting factors?
Definition
factor VII, Factor IX, Factor X, prothrombin
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