1.
What is the normal value range for an aPTT/PTT?
Correct Answer
B. 25-39 seconds
Explanation
The normal value range for an aPTT/PTT is 25-39 seconds. This is the range within which the blood clotting time is considered to be normal. Values below or above this range may indicate a bleeding disorder or a clotting disorder, respectively. Monitoring the aPTT/PTT is important in patients who are on anticoagulant therapy or have a known clotting disorder to ensure that their blood is clotting within the desired range.
2.
Which tube is used in coagulation testing?
Correct Answer
C. Sodium Citrate
Explanation
Sodium citrate is used in coagulation testing because it acts as an anticoagulant by binding to calcium ions, which are necessary for the clotting process. By preventing the clotting cascade from occurring, sodium citrate allows for accurate measurement of clotting times and factors in the blood sample. This is important in diagnosing and monitoring conditions such as bleeding disorders and thrombosis.
3.
Fibrinogen abnormalities are detected using which test?
Correct Answer
A. Thrombin time
Explanation
Thrombin time is used to detect fibrinogen abnormalities. Thrombin is added to a plasma sample and the time it takes for fibrinogen to form a clot is measured. If there are abnormalities in the fibrinogen levels or function, it will affect the clotting time. This test helps in diagnosing conditions such as fibrinogen deficiency or dysfunction. Hemoglobin, aPTT/PTT, and bleeding time tests are not specifically used for detecting fibrinogen abnormalities.
4.
Which vitamin when deficient will cause proglonged coagulation?
Correct Answer
D. Vitamin K
Explanation
Vitamin K is responsible for the production of several clotting factors in the blood, including prothrombin. When there is a deficiency of vitamin K, the production of these clotting factors is impaired, leading to prolonged coagulation. Therefore, a deficiency of vitamin K can cause prolonged coagulation.
5.
The acquisition of characters or qualities by transmission from parent to offspring.
Correct Answer
B. Inherited disorder
Explanation
The term "inherited disorder" refers to a medical condition or disorder that is passed down from parents to their children through their genes. This means that the disorder is present in the individual from birth and is not acquired later in life. In the context of the given options, "hemophilia A" and "hemophilia B" are specific examples of inherited disorders, which are characterized by a deficiency in clotting factors in the blood.
6.
Occurs as a result of factors acting from or originating outside the organism.
Correct Answer
B. Acquired disorder
Explanation
An acquired disorder refers to a condition that develops as a result of external factors or influences that affect the organism. Unlike inherited disorders, which are passed down through genetic material, acquired disorders are not present from birth and are instead acquired later in life. Examples of acquired disorders include infections, injuries, and exposure to toxins or harmful substances. In this context, hemophilia A and hemophilia B are both inherited disorders, so the correct answer is acquired disorder.
7.
Functional deficiency of coagulation factor VIII-C
Correct Answer
B. HemopHilia A
Explanation
Hemophilia A is the correct answer because it is a genetic disorder caused by a functional deficiency of coagulation factor VIII-C. This deficiency impairs the blood's ability to clot, leading to prolonged bleeding and easy bruising. Acquired immunodeficiency and color blindness are unrelated conditions, while hemophilia B is caused by a deficiency of coagulation factor IX.
8.
"Christmas disease" - Functional deficiency of coagulation factor IX
Correct Answer
B. HemopHilia B
Explanation
The term "Christmas disease" refers to a functional deficiency of coagulation factor IX, which is a clotting factor in the blood. Hemophilia B is also known as Christmas disease and is characterized by a deficiency or dysfunction of factor IX. Hemophilia A, on the other hand, is caused by a deficiency or dysfunction of factor VIII. Acquired immunodeficiency and color blindness are unrelated conditions and not associated with the term "Christmas disease." Therefore, the correct answer is Hemophilia B.
9.
The process by which platelets and plasma proteins react to convert fibrinogen into fibrin.
Correct Answer
A. Coagulation
Explanation
Coagulation refers to the process where platelets and plasma proteins interact to convert fibrinogen into fibrin. This process is crucial for blood clot formation, which helps in stopping bleeding and promoting wound healing. Coagulation involves a series of complex reactions and the formation of a fibrin mesh that reinforces the platelet plug, leading to the formation of a stable blood clot.
10.
Control and cessation of bleeding
Correct Answer
B. Hemostasis
Explanation
Hemostasis refers to the process of controlling and stopping bleeding. It involves various mechanisms such as coagulation, vasoconstriction, and aggregation of platelets. Coagulation helps in the formation of a blood clot to seal the injured blood vessel. Vasoconstriction narrows the blood vessels to reduce blood flow and pressure in the affected area. Platelet aggregation involves the clumping of platelets to form a plug that further aids in stopping bleeding. Therefore, hemostasis is the correct answer as it encompasses all these processes involved in controlling and cessation of bleeding.
11.
How many systems in hemostasis are there?
Correct Answer
C. 4
Explanation
There are four systems in hemostasis. Hemostasis is the process by which the body stops bleeding after an injury. The four systems involved in hemostasis are vascular, platelet, coagulation, and fibrinolysis. The vascular system constricts blood vessels to reduce blood flow. The platelet system forms a platelet plug to seal the damaged blood vessel. The coagulation system forms a blood clot to further seal the vessel. The fibrinolysis system dissolves the blood clot once the injury has healed.
12.
What is the first system in hemostasis
Correct Answer
A. Vascular factors
Explanation
The first system in hemostasis is the vascular factors. These factors include the constriction of blood vessels to reduce blood flow, the release of chemicals that promote platelet aggregation and clot formation, and the activation of endothelial cells to produce substances that prevent further bleeding. These initial responses help to control bleeding and initiate the formation of a blood clot.
13.
What is the second system in hemostasis
Correct Answer
B. Platelet factors
Explanation
Platelet factors are the second system in hemostasis. After an injury, platelets are activated and aggregate to form a platelet plug, which helps to stop bleeding. Platelet factors include substances released by platelets, such as ADP, thromboxane A2, and serotonin, which promote platelet activation and aggregation. These factors play a crucial role in the formation of a stable clot and the maintenance of hemostasis. Coagulation factors, on the other hand, are part of the third system in hemostasis and are responsible for the formation of fibrin, which strengthens the platelet plug.
14.
What is the third system in hemostasis
Correct Answer
C. Coagulation factors
Explanation
Coagulation factors are the proteins in the blood that work together to form a blood clot. When there is an injury or damage to a blood vessel, the coagulation factors are activated and form a clot to stop bleeding. This is the third system in hemostasis, following the vascular factors that constrict the blood vessel and the platelet factors that help in the initial formation of a platelet plug. Fibrinolysis, on the other hand, is the process of breaking down the clot once the injury has healed.
15.
What is the fourth system in hemostasis
Correct Answer
D. Fibrinolysis
Explanation
Fibrinolysis is the fourth system in hemostasis. It is responsible for breaking down blood clots that have formed during the coagulation process. This process is essential to prevent excessive clot formation and maintain blood flow. Fibrinolysis involves the activation of plasminogen, which is converted into plasmin. Plasmin then breaks down the fibrin meshwork of the clot, dissolving it and restoring normal blood flow.
16.
Platelets undergo chnages when there is a break in the endothelial lining of the blood vessel.
Correct Answer
A. Platelet factors
Explanation
Platelet factors refer to the substances released by platelets when there is a break in the endothelial lining of a blood vessel. These factors play a crucial role in the formation of a blood clot, which helps to stop bleeding. Platelets release various chemicals, such as thromboxane A2 and serotonin, that promote platelet aggregation and vasoconstriction, thereby aiding in the formation of a stable blood clot. Therefore, platelet factors are an essential component of the hemostatic response to vascular injury.
17.
Union of platelets to the endothelial lining.
Correct Answer
A. Adhesion
Explanation
Platelets are small cell fragments that play a crucial role in blood clotting. When there is an injury to the blood vessel, platelets adhere to the endothelial lining of the vessel wall to form a plug and prevent excessive bleeding. This process is known as adhesion. Aggregation refers to the clumping together of platelets to form a stable clot. Vasoconstriction is the narrowing of blood vessels, while vasodilators are substances that cause blood vessels to widen. In the given context, the correct answer is adhesion because it specifically describes the union of platelets to the endothelial lining.
18.
The collecting of separate objects into one mass - Platelets stick to each other.
Correct Answer
B. Aggregation
Explanation
Aggregation refers to the process of collecting separate objects into one mass. In the context of platelets, aggregation occurs when platelets stick to each other, forming clumps or aggregates. This is an important step in the formation of blood clots, as the aggregated platelets help to plug the damaged blood vessel and stop bleeding. Adhesion, on the other hand, refers to the attachment of platelets to the damaged blood vessel wall. Vasoconstriction and vasodilation are unrelated to the process of platelet aggregation.
19.
Which chemical enhances vascular spasms
Correct Answer
A. Serotonin
Explanation
Serotonin is a chemical that enhances vascular spasms. Vascular spasms are sudden contractions of blood vessels that can lead to reduced blood flow and potentially serious health issues. Serotonin is a neurotransmitter that regulates various bodily functions, including the constriction of blood vessels. When released, serotonin can cause the smooth muscles in the walls of blood vessels to contract, leading to vascular spasms. This can have implications in conditions such as migraines, where serotonin levels are often imbalanced, leading to blood vessel constriction and subsequent pain.
20.
Plasma proteins which interact to form a clot
Correct Answer
C. Coagulation factors
Explanation
Coagulation factors are plasma proteins that interact to form a clot. These factors are essential for the process of blood clotting, which helps to prevent excessive bleeding. When there is an injury or damage to blood vessels, coagulation factors work together in a cascade reaction to form a stable blood clot, sealing the site of injury. This clotting process involves a series of enzymatic reactions and the activation of various coagulation factors, ultimately leading to the formation of fibrin, which forms a mesh-like structure to stabilize the clot.
21.
Plasma proteing are made by which organ?
Correct Answer
A. Liver
Explanation
The liver is responsible for producing plasma proteins. It is the largest internal organ in the human body and performs various vital functions, including the synthesis of proteins. Plasma proteins play a crucial role in maintaining the osmotic pressure of blood, transporting hormones, enzymes, and other molecules, and helping with blood clotting. The liver produces several types of plasma proteins, including albumin, globulins, and fibrinogen. These proteins are essential for maintaining overall health and proper functioning of the body.
22.
Which factor is found in the tissues not in the blood like all other factors?
Correct Answer
B. Factor 3
Explanation
Factor 3, also known as tissue factor or thromboplastin, is found in tissues and not in the blood like the other factors. It is a protein that plays a crucial role in initiating the coagulation cascade, leading to the formation of blood clots. This factor is released by damaged blood vessels and interacts with other clotting factors to activate the coagulation process. Its presence in tissues, rather than in the blood, allows for a localized response to injury or damage, ensuring that clotting only occurs where it is needed.
23.
Factor 3 is also known as?
Correct Answer
B. Thromboplastin
Explanation
Thromboplastin is also known as factor 3. It is a protein involved in the blood clotting process. When there is an injury, thromboplastin is released and initiates a series of reactions that ultimately lead to the formation of a blood clot. Thromboplastin is essential for the proper functioning of the coagulation cascade and plays a crucial role in hemostasis.
24.
Which mineral is essential for coagulation?
Correct Answer
C. Calcium
Explanation
Calcium is essential for coagulation. When there is an injury or damage to blood vessels, a series of complex reactions occur to form a blood clot, which helps in stopping the bleeding. Calcium plays a crucial role in this process by activating various clotting factors, such as prothrombin, fibrinogen, and thrombin. These factors work together to form a stable blood clot. Without sufficient calcium, the coagulation process would be impaired, leading to prolonged bleeding and difficulty in wound healing. Therefore, calcium is necessary for proper blood clot formation and coagulation.
25.
Which two factors are identified by name instead of roman numerals?
Correct Answer
A. Calcium and Thromboplastin
Explanation
Calcium and Thromboplastin are the two factors that are identified by name instead of roman numerals. Roman numerals are typically used to identify factors in scientific or medical contexts, but in this case, the factors are referred to by their specific names.
26.
The process where fibrin deposits are removed to restore circulation in the blood- Fibrin is broken up.
Correct Answer
A. Fibrinolysis
Explanation
Fibrinolysis is the process where fibrin deposits are broken up and removed to restore circulation in the blood. It involves the activation of plasmin, an enzyme that breaks down fibrin into smaller fragments. This process is important in preventing the formation of blood clots and maintaining proper blood flow. Fibrinolysis helps to dissolve clots that have formed and promotes the healing of damaged blood vessels.
27.
Compontents are present in the plasma, the react with glass surfaces or damaged blood vessels.
Correct Answer
A. Intrinsic pathway
Explanation
The intrinsic pathway is the correct answer because it refers to a series of reactions that occur within the plasma when components react with glass surfaces or damaged blood vessels. This pathway is activated by factors such as collagen exposure and platelet adhesion, leading to the formation of a clot. The intrinsic pathway is one of the two main pathways involved in the coagulation cascade, the other being the extrinsic pathway. The common pathway is the final step in the coagulation cascade, where both the intrinsic and extrinsic pathways converge.
28.
Activation requires a factor not present in the blood- Thromboplastin factor.
Correct Answer
B. Extrinsic pathway
Explanation
The correct answer is the Extrinsic pathway. This pathway is initiated by the release of tissue factor (thromboplastin) from damaged tissue outside of the blood vessels. Thromboplastin factor is not normally present in the blood, so its release is necessary to activate the Extrinsic pathway. This pathway plays a crucial role in initiating blood clotting in response to external injury.
29.
Both intrinsic and extrinsic pathways activate this
Correct Answer
A. Common pathway
Explanation
The common pathway refers to the final stage of the coagulation cascade, where both the intrinsic and extrinsic pathways converge. It involves the activation of various clotting factors, leading to the formation of a fibrin clot. This pathway is crucial for the process of hemostasis, which is the body's mechanism to prevent excessive bleeding. Therefore, both the intrinsic and extrinsic pathways activate the common pathway to ensure proper coagulation and hemostasis.
30.
Clot which forms in a blood vessel.
Correct Answer
B. Thrombus
Explanation
A thrombus is a clot that forms in a blood vessel. It is a solid mass made up of platelets and fibrin, which can block blood flow and cause various health complications depending on its location. Unlike an embolus, which is a clot that travels through the bloodstream and can cause blockages in distant vessels, a thrombus typically remains in the vessel where it formed. Platelets, on the other hand, are small blood cells that help with clotting but do not form clots on their own.
31.
A thrombus that is carried in the bloodstream
Correct Answer
A. Embolus
Explanation
An embolus refers to a thrombus (a blood clot) that has detached from its original site and is carried through the bloodstream to another location. It can obstruct blood flow and cause various complications depending on where it lodges. This distinguishes it from a thrombus, which is a blood clot that forms and remains in a blood vessel. Platelets, on the other hand, are small blood cells that play a crucial role in blood clotting but are not directly related to the concept of an embolus.
32.
These delay the clotting time by inhibiting the liver from making enough of the clotting factors.
Correct Answer
A. Anticoagulants
Explanation
Anticoagulants are medications that delay the clotting time by inhibiting the liver from producing sufficient amounts of clotting factors. These drugs are commonly used to prevent the formation of blood clots and reduce the risk of stroke, heart attack, and other clot-related conditions. By inhibiting the clotting process, anticoagulants help to keep the blood flowing smoothly and prevent the formation of potentially harmful clots.
33.
A screening test used to evaluate the function of platelets and small blood vessels
Correct Answer
A. Bleeding time
Explanation
Bleeding time is a screening test used to evaluate the function of platelets and small blood vessels. It measures the time taken for bleeding to stop after a small incision is made on the skin. This test helps to assess the ability of platelets to form a clot and the integrity of blood vessels. A prolonged bleeding time may indicate a platelet disorder or a problem with blood vessel function. Therefore, Bleeding time is the correct answer for the given question.
34.
What is the normal bleeding time value range?
Correct Answer
B. 2 to 9 minutes
Explanation
The normal bleeding time value range is typically between 2 to 9 minutes. This means that it is considered normal for a person's bleeding to stop within this time frame. If the bleeding time exceeds 9 minutes, it may indicate a potential issue with the blood's ability to clot properly.
35.
This test is used to monitor patients on oral anticoagulants
Correct Answer
A. Prothrombin time
Explanation
Prothrombin time is a test used to monitor patients on oral anticoagulants. It measures the time it takes for blood to clot, specifically the time it takes for the enzyme prothrombin to convert into thrombin. This test is important for patients on anticoagulants because it helps determine if their blood is clotting properly and if their medication dosage needs to be adjusted. Thrombin time measures the time it takes for fibrinogen to convert into fibrin, bleeding time measures the time it takes for bleeding to stop, and hemoglobin measures the amount of oxygen-carrying protein in the blood.
36.
Which pathway does prothrombin time test?
Correct Answer
B. Extrinsic
Explanation
The prothrombin time test measures the time it takes for blood to clot. The extrinsic pathway is one of the two main pathways involved in blood clotting, the other being the intrinsic pathway. The extrinsic pathway is activated by tissue factor, which is released by damaged blood vessels. Therefore, the correct answer is Extrinsic, as the prothrombin time test primarily assesses the functionality of this pathway.
37.
What is Protime recorded in?
Correct Answer
A. Seconds or INR
Explanation
Protime, also known as prothrombin time, is a laboratory test that measures how long it takes for blood to clot. It is recorded in either seconds or INR (International Normalized Ratio). The INR is a standardized measurement that allows for consistent interpretation of the prothrombin time across different laboratories. Therefore, the correct answer is "Seconds or INR."
38.
What is the normal range for a protime?
Correct Answer
C. 0.9-1.2
Explanation
The normal range for a protime is 0.9-1.2. This range indicates the appropriate level of blood clotting time, with values below 0.9 suggesting a faster clotting time and values above 1.2 suggesting a slower clotting time. It is important for the protime to fall within this range to ensure proper blood clotting and prevent excessive bleeding or clotting disorders.
39.
Anticoagulants will do what to a protime?
Correct Answer
A. Increase
Explanation
Anticoagulants are medications that help prevent blood clotting. Protime, also known as prothrombin time, is a test used to measure the time it takes for blood to clot. Anticoagulants work by inhibiting the clotting factors in the blood, thus increasing the time it takes for blood to clot. Therefore, anticoagulants will increase the protime.
40.
What pathway does an aPTT test on?
Correct Answer
A. Intrinsic
Explanation
An aPTT test measures the time it takes for blood to clot, specifically by evaluating the intrinsic pathway of coagulation. The intrinsic pathway is one of the two main pathways involved in the clotting process, and it is activated by factors within the blood itself. Therefore, the correct answer is "Intrinsic."
41.
What test is used to monitor patients on IV heparin therapy?
Correct Answer
B. APTT
Explanation
The test used to monitor patients on IV heparin therapy is aPTT (activated partial thromboplastin time). This test measures the time it takes for blood to clot and helps determine if the patient's blood is within the target range for therapeutic anticoagulation. Monitoring aPTT levels is important to ensure that the patient is receiving the correct dosage of heparin and to prevent the risk of bleeding or excessive clotting. It is a standard test used in clinical practice to assess the effectiveness and safety of heparin therapy.