UCI Physio Test 1
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each of the black spaces below before clicking
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half life of thrombocytes | 5 days
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platelet adhesion binding proteins | GPIaIIa binds collagen; GPIbIX binds von Willebrand factor; GPIIbIIIa binds fibrinogen to other platelets
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when are GPIIbIIa receptors exposed on platelets | during activation
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action of serotonin | vasoconstriction
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action of ADP | activates other platelets
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pathway of which COX 1 is part | phospholipid (phospholipase A2) arachodonic acid (COX1) prostoglandin H2 (thromboxane synthase) thromboxane A2 which activates other platelets
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pathway of which COX 2 is part | arachidonic acid (COX2) prostaglandin G2 (protocyclin synthase [PGI]) prostocyclin I2 [PGI2] which leads to inflammation and oppose platelet activation
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blood clotting factors I, II, III, IV, and XIII | fibrinogen, prothrombin, tissue factor, calcium, and transglutaminase
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where are blood clotting factors which are proteases and protease cofactors produced | liver
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hemophilia A lacks what | clotting factor VIII
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hemophilia B lacks what | clotting factor IX
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which clotting cascade and which clotting factors are essential for life | extrinsic path, tissue factor, and VII/VIIa
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what activates the intrinsic pathway | negative surfaces (contact)
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do you know the clotting cascades? | if not, go check the notes
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what does cofactor V do of note | increase rxn speed of prothrombin to thrombin by 10,000
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what does vitamin K do, to what, and where | add a CO2 to factors II, VII, IX, C, and S; liver
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what is Calcium's role in clotting | binds some factors (same that need vit K) to platelets
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antithrombin | inhibits thrombin (duh) and factors IXa, Xa, and XIa
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heparin | activates antithrombin
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thrombomodulin location and activity | surface of intact vascular endothelial cells; binds thrombin and inhibits normal thrombin activity; activates thrombin toward protein C
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protein C activity | activated by thrombin and thrombomodulin; inactivates factors V and VIII; protein C is essential
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plasmin action and plasmin activator | clot lysis by hydrolyzing fibrin; TPA activates it
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TPA | tissue-type plasminogen activator
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bernard soulier syndrome | defective vWf receptor (GPIb-IX)
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Glanzmann's disease | defective fibrinogen receptor (GPIIb-IIIa)
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APC stands for what and does what? | activated protein C; inactivates VIII and V
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factor V Leiden | single pt mutation that resists APC inactivation leading to V always being active (thrombosis risk)
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disfibrinogenemias | rare cause of bleeding from mutation in fibrinogen
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acquired bleeding disorders (two types) | autoantibodies and Vit K dependent
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anti-coagulants | calcium chelators (citrate, oxalate) and heparin
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heparin action and duration | antithrombin activation, fast acting, lasts for hours
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vit K antagonists and action | dicoumarol, warfarin, coumadin (stops vit K from being regenerated which is needed to modify clotting factors)
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PT is what | prothrombin time; a clinical lab test to measure extrinsic and common pathways; use INR (international normalized ratio) test/normal: .5 clotting risk, 1 normal, 5 bleeding risk, 10 high bleeding risk
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PTT or aPTT is what | (activated) partial thromboplastin time; a measure of the Intrnsic and common pathways; more sensative to heparin than PT; less sensative to vit K than PT
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natural anticoagulants are produced by | ticks, hookworms, vampire bats, snakes, leaches
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coumodin acts like what | VIKORCI
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vit K required enzyme | glutamyl carboxylase
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