Blood Composition and Hemostasis - Anatomy and Physiology

  1. Which plasma protein lets platelets adhere to exposed collagen in a damaged vessel wall?
    Von Willebrand factor, which bridges collagen and platelet surface receptors.
  2. What does the hematocrit measure?
    The percentage of whole blood volume occupied by red blood cells.
  3. How does serum differ from plasma?
    Serum is the fluid left after blood clots, so it lacks fibrinogen and other consumed clotting factors.
  4. Which enzyme breaks down fibrin during fibrinolysis?
    Plasmin, formed from plasminogen by activators such as tissue plasminogen activator (tPA).
  5. The liver needs vitamin K to make which clotting factors?
    Factors II (prothrombin), VII, IX, and X.
  6. Which enzyme converts fibrinogen into fibrin?
    Thrombin, which is generated from prothrombin.
  7. About what percentage of whole blood volume is plasma, and what percentage is formed elements?
    About 55 percent plasma and 45 percent formed elements, nearly all of which are red blood cells.
  8. Which is the most abundant plasma protein, and what is its main role?
    Albumin. It provides most of the plasma colloid osmotic pressure that holds fluid in the vessels.
  9. What triggers the extrinsic pathway of coagulation?
    Tissue factor (factor III), released from damaged tissue outside the blood.
  10. Activation of which clotting factor begins the common pathway of coagulation?
    Factor X. The intrinsic and extrinsic pathways both converge on its activation.
  11. Which is the most abundant type of white blood cell in normal blood?
    The neutrophil, about 50 to 70 percent of leukocytes.
  12. What are the three phases of hemostasis, in order?
    Vascular spasm, platelet plug formation, and coagulation (blood clotting).

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