Fibrinolysis

Descrição

Haematology and Anatomy (Coagulation) Quiz sobre Fibrinolysis, criado por gina_evans0312 em 10-01-2014.
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Quiz por gina_evans0312, atualizado more than 1 year ago
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Criado por gina_evans0312 mais de 10 anos atrás
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Resumo de Recurso

Questão 1

Questão
The vascular endothelium protects platelets from subendothelial aggregating substances i.e. collagen
Responda
  • True
  • False

Questão 2

Questão
Vasoconstriction around injured site helps coagulation how?
Responda
  • Reduced blood flow decreases pressure and loss of blood
  • Reduced blood flow brings coagulation factors into tissue contact more readily
  • Reduced blood flow decreases wall diameter, decreasing size of breach

Questão 3

Questão
Why is Fibrinolysis necessary?
Responda
  • It prevents inappropriate extension of the fibrin plug
  • Prevents clotting from damaging nearby cell
  • Prevents clotting in case of infected blood

Questão 4

Questão
To prevent inappropriate prevention of coagulation, where are coagulation inhibitors limited to?
Responda
  • Intact endothelium
  • Breached endothelium
  • Free flowing blood

Questão 5

Questão
Inhibitors are triggered by late products of coagulation
Responda
  • True
  • False

Questão 6

Questão
What is inhibited by the Tissue Factor Pathway Inhibitor?
Responda
  • FX reversibly
  • FX permanently
  • FVII
  • FV

Questão 7

Questão
Anthithrombin deactivates several enzymes of the coagulation system
Responda
  • True
  • False

Questão 8

Questão
Protein S & C work the same way
Responda
  • True
  • False

Questão 9

Questão
The Protein C pathway is initiated by what?
Responda
  • Thrombin
  • Antithrombomodulin
  • Antithrombin

Questão 10

Questão
Thrombomodulin works in the free flowing blood
Responda
  • True
  • False

Questão 11

Questão
Both thrombin and thrombomodulin work on the endothelial cell surface
Responda
  • True
  • False

Questão 12

Questão
What is the role of thrombomodulin?
Responda
  • Conversion of Thrombin to Antithrombin
  • Conversion of Thrombin to a Coagulation Inhibitor
  • Removal of platelets

Questão 13

Questão
Excess thrombin binds to thrombomodulin on intact cells, which allows it to be altered
Responda
  • True
  • False

Questão 14

Questão
Protein C acts as an anticoagulant by degrading Factors
Responda
  • V
  • VIII

Questão 15

Questão
Protein C needs Mg in order to function
Responda
  • True
  • False

Questão 16

Questão
Which of the following support Protein C activity?
Responda
  • Protein S
  • Inactive F V
  • Active F V

Questão 17

Questão
60% of patients with thrombophilia have a
Responda
  • Factor II deficiency
  • Protein C deficiency
  • Protein S deficiency

Questão 18

Questão
VTE = Venous Thromboembolism
Responda
  • True
  • False

Questão 19

Questão
What is thrombosis?
Responda
  • An increased liklihood of spontaneous clotting
  • An inability to form blood clots

Questão 20

Questão
Name the risk factors for thrombophilia
Responda
  • Alteration in blood components i.e. pregnancy
  • Circulatory stasis i.e. venous problems
  • Artificial surfaces i.e. a STENT

Questão 21

Questão
VTE occurs when blood coagulation overwhelms fibrogenlysis/anticoagulant mechanisms
Responda
  • True
  • False

Questão 22

Questão
Thrombophilia is linked to Lupus Anticoagulant Syndrome
Responda
  • True
  • False

Questão 23

Questão
Name some examples where Anticoagulation therapy is necessarry
Responda
  • Patient with a myocardial infarction (MI)
  • Patients with Lupus/APS
  • Deep Vein Thrombosis/ Primary Embolism

Questão 24

Questão
How is Heparin administered?
Responda
  • Intravenously
  • Subcutaneously
  • Ingestion

Questão 25

Questão
How does Heparin work?
Responda
  • Increases action of Antithrombin
  • Increases Protein C activity
  • Increases degredation of platelets

Questão 26

Questão
Why is Low Molecular Weight Heparin better?
Responda
  • 100% bioavalibility
  • Longer half life
  • Less frequent osteoporosis

Questão 27

Questão
Dabigatran is only used in cases of Atrial Fibrilation
Responda
  • True
  • False

Questão 28

Questão
Dabigatran is a FX inhibitor, Rivaroxabin is a thrombin inhibitor
Responda
  • True
  • False

Questão 29

Questão
Warfarin works how?
Responda
  • Directly inhibits thrombin
  • Inhibits Vit K metabolism
  • Lyses platelets

Questão 30

Questão
Without Vitamin K, why is coagulation so much slower?
Responda
  • Non carboxylated factors cannot bind to Ca2+
  • Non carboxylated factors cannot bind to phosphorylated
  • Non carboxylated factors cannot be inhibited

Questão 31

Questão
Warfarin is used when all four clotting factors are low
Responda
  • True
  • False

Questão 32

Questão
What is the leading dose of Warfarin?
Responda
  • 6mg for 3 days
  • 3mg for 6 days

Questão 33

Questão
What test is used to monitor warfarin activity?
Responda
  • Prethrombin time
  • Activated Partial Thromboplastin Time
  • Fibrin Assay

Questão 34

Questão
What is the reference for Prethrombin Time?
Responda
  • Standard reference thromboplastin
  • Potency is ISI- International Sensitivity Index
  • Standard reference antithrombin

Questão 35

Questão
INR = Prethrombin Time/ Mean Normal Prethrombin Time
Responda
  • True
  • False

Questão 36

Questão
Match the dangerous INR ranges- A= (2-3) B= (3-4)
Responda
  • A= Prosthetic Heart Valves B = DVT
  • A = DVT B = Prosthetic Heart Valves

Questão 37

Questão
When using Warfarin, stop if the INR <2 for two consecutive days
Responda
  • True
  • False

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