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Secondary Hemostasis part 1

Total questions: 18

Worksheet time: 9mins

Name
Class
Date
1.

Requires Factors V, VIII, XIII (can be considered cofactors). The whole group is I, V, VIII, and XIII).

Consumed during clotting (present in plasma, not in serum)

a)

Fibrinogen Group

b)

Prothrombin Group

c)

Contact Group

2.

II, VII,IX, X

Vitamin K dependent

Not consumed during clotting (present in plasma and serum, except Factor II)

Stable and well‑preserved in stored plasma

Precipitated with barium sulfate – absent in this “adsorbed plasma”

Synthesized in liver

a)

Fibrinogen Group

b)

Prothrombin Group

c)

Contact Group

3.

XI, XII, HMWK, PK

Activated upon contact

Not consumed during clotting (present in plasma and serum)

Fairly stable

a)

Fibrinogen Group

b)

Prothrombin Group

c)

Contact Group

4.

when activated by thrombin it is converted to fibrin which forms the clot

Fibrinogen group

Fibrinogen assay (measured in mg/dL: 200-400)

a)

Factor I - Fibrinogen

b)

Factor II (Prothrombin)

c)

TISSUE THROMBOPLASTIN

d)

Ionized calcium

5.

-it is converted to thrombin

by the prothrombinase complex (Xa, Va, PF3, and Ca ++)

splits fibrinogen , stimulates platelet aggregation, and activates co-factors and protein C

a)

Factor I - Fibrinogen

b)

Factor II (Prothrombin)

c)

TISSUE THROMBOPLASTIN

d)

Ionized calcium

6.

- Formerly known as Factor III

cofactor found in tissue which activates the extrinsic pathway and factor VII

found in most body tissues and particularly high levels found in the brain and lungs

a)

Factor I - Fibrinogen

b)

Factor II (Prothrombin)

c)

TISSUE THROMBOPLASTIN

d)

Ionized calcium

7.

formerly factor IV

functions mainly as a bridge between the PL surface of platelets and several coagulation factors

necessary for many steps in coagulation

Measured in Chemistry using serum or heparinized plasma (can use ISE)

a)

Factor I - Fibrinogen

b)

Factor II (Prothrombin)

c)

TISSUE THROMBOPLASTIN

d)

Ionized calcium

8.

–speeds the transformation of prothrombin to thrombin

a)

FACTOR V (PROACCELERIN)

b)

FACTOR VII (PROCONVERTIN)

c)

FACTOR VIII (ANTIHEMOPHILIC FACTOR A)

d)

FACTOR IX  (CHRISTMAS FACTOR)

9.

sensitive to coumadin drugs

activated by tissue thromboplastin

activates factor X

a)

FACTOR V (PROACCELERIN)

b)

FACTOR VII (PROCONVERTIN)

c)

FACTOR VIII (ANTIHEMOPHILIC FACTOR A)

d)

FACTOR IX  (CHRISTMAS FACTOR)

10.

VIII/vWf (factor VIII complex) is the total factor VIII molecule

VIII:C is the active portion of the molecule which functions in the clotting process

a)

FACTOR V (PROACCELERIN)

b)

FACTOR VII (PROCONVERTIN)

c)

FACTOR VIII (ANTIHEMOPHILIC FACTOR A)

d)

FACTOR IX  (CHRISTMAS FACTOR)

11.

vWf:Ag is the subunit capable of antibody production that binds to endothelium and helps in normal platelet adhesion and function (primary hemostasis)

a)

FACTOR V (PROACCELERIN)

b)

FACTOR VII (PROCONVERTIN)

c)

FACTOR VIII (ANTIHEMOPHILIC FACTOR A)

d)

FACTOR IX  (CHRISTMAS FACTOR)

12.

Becomes activated by combining with the PL(PF3) surface of the platelet in the presence of Ca++ to then activate factor X

a)

FACTOR V (PROACCELERIN)

b)

FACTOR VII (PROCONVERTIN)

c)

FACTOR VIII (ANTIHEMOPHILIC FACTOR A)

d)

FACTOR IX  (CHRISTMAS FACTOR)

13.

•Test 5M urea solubility

a)

FACTOR XIII (FIBRIN STABILIZING FACTOR)

b)

PREKALLIKREIN (FLETCHER FACTOR)

c)

HIGH MOLECULAR WEIGHT  KININOGEN (FITZGERALD FACTOR)

14.

Vitamin K dependent

a)

II, VII, IX, X

b)

V, VIII

c)

I, II, V, VII, VIII, XIII

d)

II, VII, IX, X, XI, XII

15.

Labile

a)

II, VII, IX, X

b)

V, VIII

c)

I, II, V, VII, VIII, XIII

d)

II, VII, IX, X, XI, XII

16.

Consumed in the clot

a)

II, VII, IX, X

b)

V, VIII

c)

I, II, V, VII, VIII, XIII

d)

II, VII, IX, X, XI, XII

17.

serine proteases

a)

II, VII, IX, X

b)

V, VIII

c)

I, II, V, VII, VIII, XIII

d)

II, VII, IX, X, XI, XII

18.

converted to kallikrein, a serine protease that connects the coagulation pathways to fibrinolysis with the help of factor XIIa in the presence of HMWK

Adsorbs onto the surface of the vessel

a)

FACTOR XIII (FIBRIN STABILIZING FACTOR)

b)

PREKALLIKREIN (FLETCHER FACTOR)

c)

HIGH MOLECULAR WEIGHT  KININOGEN (FITZGERALD FACTOR)