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BLOOD COAGULATION - Part 1
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1. Hemostasis:
- Plays a small part in stopping the flow of blood.
- Plays a large part in stopping the flow of blood.
- Is a vascular system.
- Represents 15-20% of platelet protein.
2. Coagulation is one component in:
- Fibrinolysis.
- Hemostasis.
- Disruption of the intrinsic system.
- Vascular dilatation.
3. What major role does blood platelets perform?
- In the hemostatic process, blood platelets swell, congeal, and adhere to blood vessel wall to plug the site of the injury.
- They contract.
- They stimulate collagen.
- Platelets extend pseudopodia.
4. Which occurs last in the clotting process?
- Formation of thrombin.
- Formation of thromboplastin.
- Aggregation of platelets.
- Formation of fibrin network.
5. Coagulation factors I through IV are, respectively:
- Calcium, fibrinogen, prothrombin, and Christmas.
- Fibrinogen, prothrombin, thromboplastin, and calcium.
- Prothrombin, calcium, fibrinogen, and thromboplastin.
- Thromboplastin, prothrombin, calcium, and fibrinogen.
6. Which is the Stuart Prower Factor?
- Factor V.
- Factor VII.
- Factor X.
- Factor XIII
7. Thromboplastin eliminates the need for what item in stage I?
- Globulin.
- The accelerator, proconvertin.
- High concentration of serum and plasma.
- Platelets.
8. What are the two systems that make up the coagulation process?
- Vascular and hemolysis.
- Extrinsic and intravascular.
- Intravascular and vascular.
- Intrinsic and extrinsic.
9. Coagulation factor XIII produces a tough gel through:
- Increasing the serum content.
- Stabilizing serum.
- Converting a loosely linked fibrin clot with the help of calcium ions.
- Decreasing the conversion of prothrombin with the help of calcium ions.
10. The synthesis of prothrombin takes place in the liver and requires the presence of:
- Folic acid.
- Vitamin A.
- Vitamin B12.
- Vitamin K.
11. Prothrombin is the precursor of:
- Fibrin.
- Fibrinogen.
- Thrombin.
- Thromboplastin.
12. A___________ deficiency is unlikely to interfere with coagulation because clinical tetany would intervene.
- Calcium.
- Fibrinogen.
- Prothrombin.
- Factor VIII.
13. Which factor is thought to be an accelerator in the conversion of prothrombin to thrombin?
- Factor VII.
- Factor VIII.
- Factor IX.
- Factor XII.
14. Which is consumed during the clotting process and is therefore not present in serum?
- Factor V.
- Factor VII.
- Factor IX.
- Factor XI.
15. Which platelet factor activates prothrombin?
- 2
- 3
- 4
- 7
16. Hemophilias A and B are hereditary deficiencies of which coagulation factors, respectively?
- VII and IX.
- VIII and IX.
- XI and VIII.
- XI and IX.
17. Platelet factor 3 is found in the platelet and is a ______________ component of platelets.
- Membrane; extrinsic.
- Plasma; extrinsic.
- Membrane; intrinsic.
- Plasma; intrinsic.
18. A fibrin clot is ultimately formed by the interaction of fibrinogen and:
- Calcium.
- Thrombin.
- Thromboplastin.
- Platelets.
19. The formation of thrombin from prothrombin occurs in what stage?
- Stage I
- Stage II
- Stage III
- Stage IV
20. During the clot lysis stage, what happens to the blood clot when plasmin interacts with it?
- Enlarges.
- Shrivels up like an old red blood cell.
- Enlongates like an ameoba.
- Dissolves into fragments.
21. One anticoagulant that inhibits the clotting activity of blood is:
- Coumarin derivitives.
- Fibrin.
- Throboplastin.
- Proconvertin.
22. In the Ivy method for determining the bleeding time, the blood pressure cuff is inflated to:
- 20 mm Hg.
- 30 mm Hg.
- 40 mm Hg.
- 50 mm Hg.
23. The normal bleeding time with the Ivy method is:
- Up to 8 minutes.
- 3-10 minutes.
- 10-15 minutes.
- 15-20 minutes.
24. What should be the temperature of the water bath for the whole blood clotting time? (NOTE: The whole blood clotting time discussed in paragraph 2-12 of the text is also referred to as the coagulation time or clotting time.)
- 10oC
- 20oC
- 37oC
- 56oC
25. All of the variables listed below decrease the clotting time of whole blood except:
- Excessive agitation of the blood specimen.
- Air bubbles in the blood.
- Tissue fluid in the blood.
- Performing test at room temperature.