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UCI Physio Test 1

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
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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