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MTSA Advanced Physiology Test 4 Questions With Correct Answers

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MTSA Advanced Physiology Test 4 Questions With Correct Answers

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MTSA /




Advanced
/ /




Physiology
/ /




Test 4 Questions With Correct Answers
/ // // // // //




A //fibrin //network //that //contains //trapped //blood //cells //and //platelets //is //called //a(n)

clot

platelets //have //this //cell //in //it's //lineage //in //common //with //all //other //blood //cells

pleura //potential //hematopoietic //cell //(stem //cell)

1st //cell //that //is //identified //as //distinctly //a //part //of //the //platelet //lineage

megakaryoblast

differentiation //progression //for //platelets

stem //cell //=> //megakaryoblast //=> //megakaryocyte //=fragments //into=> //platelets

platelets //don't //have //a...

nucleus

normal //range //for //platelets

150,000 //- //450,000/mL

platelet //half //life

8-12 //days

Cytoplasm //of //platelets //contain

-contractile //proteins
-ER //and //golgi
-mitochondria
-prostaglandins //and //thromboxin
-fibrin //stabilizing //factor //synthesis
-growth //factors

,purpose //of //the //ER //and //golgi //apparatus //in //platelets

-Ca++ //storage
-enzyme //synthesis //for //platelet //function //and //coagulation //factors

types //of //contractile //proteins //found //in //platelets

actin, //myosin, //thrombosthenin

function //of //PG //and //TxA2

platelet //aggregation //, //platelet //anti-aggregation //and //vasoconstriction

function //of //fibrin //stabilizing //factor

stablizes //fibrin //threads //and //clot

Platelet //Cell //Membrane //contains:

-
glycoprotein //coating //( //prevents //platelets //from //adhering //to //normal //vascular //endothelium)

-phospholipids
-receptors //(allow //for //activation)

Definition //of //hemostasis

prevention //of //blood //loss

hemostasis //is //achieved //by //these //mechanisms //in //this //order

- //vascular //constriction
- //platelet //plug //formation
- //blood //coagulation/clot
- //fibrin //formation //& //repair //of //injured //vessel
- //clot //lysis

mechanisms //for //vascular //constriction //for //hemostasis

reflex //vascular //smooth //muscle //spasm, //pain //-> //SNS //reflex //-
> //(norepinephrine, //epi)vaso //constriction

platelet //release //of //TxA2

the //greater //the //trauma //the //greater //the....

,vasoconstriction. /
/thus....a //cut //shaving //bleeds //a //lot //but //a //severed //limb....not //as //much //as //you //might //think



platelet /
/activation //is //caused //by //contact //with //this //substance //in //damaged //vascular //endothelium



collegen

First //step //of //platelet //plug //formation

platelets //swell //and //exude //pseudopods

second //step //in //platelet //plug //formation

actin, //myosin, //and //thrombosthenin //contract //= //release //of //clotting //factors.

third //step //in //platelet //plug //formation

platelets //become //sticky, //aggregate, //and //adhere //to //collagen //and //von //Willebrand //factor //in
//blood //vessel //wall



fourth //step //in //platelet //plug //formation

ADP //and //TxA2 //secretion //activates //other //platelets

fifth //step //in //platelet //plug //formation

expression //of //fibrinogen //receptors

sixth //step //in //platelet //plug //formation

fibrin //threads //form //in //plug //(mesh //like)

is //a //platelet //plug //the //same //as //a //clot?

no. /
/platelet /


/plugs /


/are /


/good /


/for //small //damage //but //blood //coagulation //and //clot //formation //are //for //bigger //damage.



von //Willebrand //factor

-produced //in //the //vascular //endothelial //cells
-very //important //for //clot //and //platelet //plug //formation
-people //can //be //born //without //it.

, Tx //for //von //Willebrand //deficiency

-give //von //WIllebrand //factor
-give //cryoprecipitate
-give //DDADP //(desmopressin)

how //fast //does //clot //formation //start //in //a //small //wound?

1-2min

amount //of //time //for //clot //formation //in //a //large/serious //wound

15-20 //sec

amount //of //time //required //for //a //tear //in //a //blood //vessel //to //be //filled //with //a //clot

3-6min

amount //of //time //before //the //clot //retracts //and //further //closes //the //wound //in //the //vessel

20-60min

during //normal //conditions, //does //anticoagulant //or //procoagulant //factors //predominate?

anticoagulant

this //is //essential //for //pro-coagulant //factors

it //must //stay //local //at //the //site //of //injury!

2 //types //of //coagulation //pathways

extrinsic //and //intrinsic

initiating //stimuli //in //the //extrinsic //coagulation //pathway

tissue //damage //extrinsic //to //the //blood //vessel

initiating //stimuli //in //the //intrinsic //coagulation //pathway

contact //with //collagen //of //damaged //vessel

at //what //point //do //the //coagulation //pathways //become //a //common //pathway

factor //X

tissue //damage //causes //the //release //of

thromboplastin

in //the //extrinsic //coagulation //pathway, //thromboplastin

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