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Blood part 4 Thrombocytes & Hemostasis

Total questions: 51

Worksheet time: 26mins

Name
Class
Date
1.

Thrombocytes are...

a)

RBC

b)

WBC

c)

Platelets

2.

Platelets are real cells

a)

True

b)

False, they are actually cytoplasmic fragments

3.

There are more thrombocytes (150K-400K) than RBC

a)

True

b)

False, there are more thrombocytes than WBC not RBC

4.

Thrombocytes circulate for 8-10 days and then are broken down and recycled

a)

True

b)

False

5.

What is the function of thrombocytes

a)

Involved in clot formation

b)

Secretes clotting factors

c)

Secrete vasoconstrictors to prevent fluid loss

d)

Secrete chemicals for Chemotaxis of WBC towards inflammation sites

6.

This occurs when there is over 400k platelets and excessive clots formed in blood vessels (thrombosis)

a)

Thrombocytosis

b)

Thrombocytopenia

7.

This occurs when there is less than 100k platelets which causes excessive internal bleeding...hemorrhagic spots and hematoma in response to minor trauma

a)

Thrombocytosis

b)

Thrombocytopenia

8.

Hemopoietic stem cell in red bone marrow divide to form....

a)

myeloid stem cells

b)

lymphoid stem cells

9.

Myeloid stem cells (from hemopoietic stem cell) divide to form megakaryoblasts which from megakaryocyte. The cytoplasm breaks up and forms platlets

a)

True

b)

False, this is all a lie.

10.

Platelets are formed from pieces of the cytoplasm of megakaryocyte

a)

True

b)

False, its from lymphoid cells

11.

Hemostasis stops bleeding and prevents hemorrhage (loss of large amounts of blood) and is done...

a)

Vascular spasm

b)

Platelet plug formation

c)

Coagulation

d)

Scab formation

12.

In this Hemostasis step (#1), platelets and endothelial layer linning the wall of blood vessels secrete vasoconstrictors that cause vasocontraction of smooth muscle in wall of blood vessels which reduces the opening and reduces blood flow

a)

Vascular spasm

b)

Platelet plug formation

c)

Coagulation

d)

Scab formation

13.

In this Hemostasis step (#2), Platelets attach to exposed damaged wall of blood vessels which platelets become irregular, larger and stick to each other to form soft mass

a)

Vascular spasm

b)

Platelet plug formation

c)

Coagulation

d)

Scab formation

14.

In hemostasis #2 Platelet plug formation: this is when platelets attach to the exposed damaged wall of the blood vessels

a)

Platelet adhesion

b)

Platelet aggregation

c)

Platelet plug

d)

degranulation

15.

In hemostasis #2 Platelet plug formation: is when platelets become irregular, large and stick to each other.

a)

Platelet adhesion

b)

Platelet aggregation

c)

Platelet plug

d)

degranulation

16.

In hemostasis #2 Platelet plug formation: a soft mass is formed

a)

Platelet adhesion

b)

Platelet aggregation

c)

Platelet plug

d)

degranulation

17.

In hemostasis #2 Platelet plug formation: release of chemicals such as ADP, prostaglandins, serotonin, enzymes, calciums ions

a)

Platelet adhesion

b)

Platelet aggregation

c)

Platelet plug

d)

degranulation

18.

Platelets do not stick to undamaged blood vessels due to presence of a coating of platelet repellant prostacyclin.

a)

True

b)

False

19.

In this Hemostasis step (#3), this is the clot formation

a)

Vascular spasm

b)

Platelet plug formation

c)

Coagulation

d)

Scab formation

20.

When blood constantly flows in blood vessels --> blood cells and platelets remain suspended due to platelet repellant prostacyclin --> blood does not clot.

a)

True

b)

False, the platets stick regardless

21.

What does clot formation require

a)

Ca 2+

b)

Enzymes from liver

c)

Chemicals released by platelets and damaged tissue

d)

Vitamin K made by intestinal bacteria

22.

In the test tube, straw colored liquid separates out and is called serum

Serum = plasma-fibrinogen

a)

True

b)

False, it has the fibrinogen

23.

But when blood is withdrawn in a test tube or stops flowing

a soluble plasma protein fibrinogen gets converted to insoluble fibrin which form a network and trap blood cells to form a thick dark red mass (clot).

a)

True

b)

False

24.

What are the pathways of # 3 Coagulation (of Hemostasis)

a)

Intrinsic pathway

b)

Extrinsic pathway

c)

Intercellular pathway

d)

Extracellular pathway

25.

In what pathway of # 3 Coagulation (of Hemostasis) are Prothrombinase and Ca2+ convert prothrombin to thrombin. Thrombin and Ca 2+ convert soluble fibrinogen into insoluble fibrin fibers, these fiber trap blood cells and makes a clot

a)

Intrinsic pathway

b)

Extrinsic pathway

c)

Intercellular pathway

d)

Extracellular pathway

26.

In what pathway of # 3 Coagulation (of Hemostasis) is triggered by damage of the tissue that is outside of the blood vessels (like a cut that leads to bleeding)

a)

Intrinsic pathway

b)

Extrinsic pathway

27.

In what pathway of # 3 Coagulation (of Hemostasis) is a simpler process and has fewer steps

a)

Intrinsic pathway

b)

Extrinsic pathway

28.

In what pathway of # 3 Coagulation (of Hemostasis) is a a very rapid process, takes place within 15 seconds of trauma

a)

Intrinsic pathway

b)

Extrinsic pathway

29.

In what pathway of # 3 Coagulation (of Hemostasis) is initiated by tissue factor (TF) released from damaged tissue and damage wall of the blood vessel...not the blood

a)

Intrinsic pathway

b)

Extrinsic pathway

30.

In what pathway of # 3 Coagulation (of Hemostasis) damaged tissue releases tissue factors and tissue factors and Ca2+ activate factor X which activates prothrombinase for the final steps

a)

Intrinsic pathway

b)

Extrinsic pathway

31.

In what pathway of # 3 Coagulation (of Hemostasis) is triggered by the damage to the inside of the blood vessel wall.

a)

Intrinsic pathway

b)

Extrinsic pathway

32.

In what pathway of # 3 Coagulation (of Hemostasis) is more complex and has more steps

a)

Intrinsic pathway

b)

Extrinsic pathway

33.

In what pathway of # 3 Coagulation (of Hemostasis) is more a slower process, takes 3-6 minutes

a)

Intrinsic pathway

b)

Extrinsic pathway

34.

In what pathway of # 3 Coagulation (of Hemostasis) is initiated by the platelet within the blood vessel

a)

Intrinsic pathway

b)

Extrinsic pathway

35.

In what pathway of # 3 Coagulation (of Hemostasis) platelets come in contact with the damaged wall of the blood vessels --> the platelet factors and Ca2+ activate factor X--> factor X activates prothrombinase for the final steps

a)

Intrinsic pathway

b)

Extrinsic pathway

36.

Clot is a soluble fibrinogen in blood plasma that converts to a insoluble fibrin and makes a network of fibrin and forms a soft mass...

a)

TADA

b)

LIES

37.

Hemostasis 3. Coagulation...this is an embolus (clot) lodged in lungs that blocks circulation in lung, causes breathing difficulties

a)

Pulmonary embolism

b)

Stasis

c)

Stroke

d)

Hemorrhage

e)

Hemophilia

38.

Hemostasis 3. Coagulation...slower blood flow that can cause thrombosis

a)

Pulmonary embolism

b)

Stasis

c)

Stroke

d)

Hemorrhage

e)

Hemophilia

39.

Hemostasis 3. Coagulation...caused by embolus in blood vessel going to the brain causes paralysis of one side of the body.

a)

Pulmonary embolism

b)

Stasis

c)

Stroke

d)

Hemorrhage

e)

Hemophilia

40.

Hemostasis 3. Coagulation...excessive bleeding due to extensive injury or lack of clotting.

a)

Pulmonary embolism

b)

Stasis

c)

Stroke

d)

Hemorrhage

e)

Hemophilia

41.

Hemostasis 3. Coagulation..continued bleeding due to lack of clotting. due to absence of specific clotting factors.

treated with blood transfusion or infusion of factors.

a)

Pulmonary embolism

b)

Stasis

c)

Stroke

d)

Hemorrhage

e)

Hemophilia

42.

Hemostasis- 3. Coagulation: a clot formed in an unbroken blood vessel….inside the blood vessel

a)

Thrombus

b)

Thrombosis

c)

Embolus

d)

Fibrinolysis

43.

Hemostasis- 3. Coagulation: the process of internal clot formation is

a)

Thrombus

b)

Thrombosis

c)

Embolus

d)

Fibrinolysis

44.

Hemostasis- 3. Coagulation: traveling clot is..

a)

Thrombus

b)

Thrombosis

c)

Embolus

d)

Fibrinolysis

45.

Hemostasis- 3. Coagulation: dissolving an internal clot that is done by an inactive enzyme present in blood plasma: plasmigoen converted to active enzyme plasmin which dissolves the clot

a)

Thrombus

b)

Thrombosis

c)

Embolus

d)

Fibrinolysis

46.

If an external clot is formed closer to body surface --> clot tightens (clot retraction) -->dries to form a scab -->scab eventually falls off --> new skin appears from underneath.

a)

Yes

b)

No

47.

Such clots can detach --> travel within blood to the other body parts --> may block blood vessels --> cause ischemia (decreased blood supply) and necrosis (tissue death) --> leading to multisystem organ failure.

a)

Yes

b)

No

48.

A thrombus inside a blood vessel can drop off

a)

True

b)

False, it has to slowly dissolve

49.

Chemicals that are used to dissolve a clot like plasminogen activator, stroptokinase

a)

Thrombolytic agens

b)

Anticoagulants

c)

Aspirin

50.

Chemicals that prevent clot formation like heparin, warfarin, EDTA are called

a)

Thrombolytic agens

b)

Anticoagulants

c)

Aspirin

51.

Inhibits prostaglandin synthesis, reduces platelet activation and decreases clotting. Reduces risk of unnecessary clot formation, reduces chances of stroke and heart attack

a)

Thrombolytic agens

b)

Anticoagulants

c)

Aspirin