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Hem-, Immuno-,ImHem-
Studystack of Immunology Hemostasis
| Question | Answer |
|---|---|
| What test is commonly used to assess the extrinsic and common pathways? | PT (Prothrombin Time) |
| What test is commonly used to assess the intrinsic and common pathways? | APTT |
| What is the main function of the complement system in immunity? | T-cell receptors on lymphocytes recognize specific antigens. |
| Which antibody class is the most abundant in human serum and is primarily involved in secondary immune responses? | IgG is the most abundant antibody involved in secondary immune responses. |
| Which component is primarily responsible for the recognition of specific antigens in the immune system? | To lyse pathogens and facilitate phagocytosis through opsonization. |
| Which immunological test is used to detect the presence of specific antibodies against an antigen in serum? | Enzyme-linked immunosorbent assay (ELISA) detects antibodies in serum. |
| Which blood group system is most important in transfusion medicine because of its strong antigenicity? | ABO blood group system is most important due to strong antigenicity. |
| In the coagulation cascade, what initiates the extrinsic pathway? | Tissue factor (factor III) released from damaged tissue initiates the extrinsic pathway. |
| Which one of the following best describes the role of fibrin in hemostasis? | Fibrin forms a mesh that stabilizes the blood clot. |
| Which coagulation test assesses the function of the intrinsic and common coagulation pathways? | Activated partial thromboplastin time (aPTT) tests intrinsic and common pathways. |
| Which antibody class is primarily found in mucosal secretions and plays a key role in mucosal immunity? | IgA is primarily found in mucosal secretions for mucosal immunity. |
| Which immune cells are primarily responsible for producing antibodies? | B lymphocytes differentiate into plasma cells that produce antibodies. |
| What is the primary physiologic role of platelets in hemostasis? | Platelets aggregate to form a primary hemostatic plug at injury sites. |
| Which of the following best describes the action of anticoagulant protein antithrombin? | Antithrombin inhibits thrombin and other serine proteases to reduce clotting. |
| Which immunoglobulin class is primarily involved in allergic reactions? | IgE is primarily involved in allergic reactions. |
| Which blood type is considered the universal donor for red blood cell transfusions? | Type O negative blood is the universal red blood cell donor. |
| What is the main difference between the intrinsic and extrinsic coagulation pathways? | The intrinsic pathway is activated by contact with damaged endothelium; extrinsic by tissue factor exposure. |
| What is the primary difference between natural (nonspecific) immunity and specific (adaptive) immunity? | Natural immunity provides immediate general protection, while specific immunity targets recognized antigens and retains memory. |
| Which immunoglobulin class is the most abundant in the bloodstream and can cross the placenta to protect the fetus? | IgG is the most abundant antibody in blood and provides long-term immunity by crossing the placenta. |
| What laboratory principle is the Rapid Rheumatoid Factor (RF) latex agglutination test based upon? | Agglutination of IgG-coated latex particles by patient serum indicates presence of rheumatoid factor (IgM antibodies). |
| During an immune response, which antibody predominates during the primary exposure and which predominates during the secondary exposure? | IgM predominates during primary exposure; IgG predominates during secondary exposure for stronger memory response. |
| Which organ is the primary site for T-cell maturation in the immune system? | The thymus is the site of T-cell maturation. |
| Which blood group system antigens are inherited codominantly and found on red blood cells as well as other tissues? | ABO blood group antigens are codominantly inherited and present on RBCs and other tissues. |
| What is the role of Factor XIII in coagulation? | Factor XIII cross-links fibrin strands to stabilize the clot. |
| What distinguishes monoclonal antibodies from polyclonal antibodies in immunological testing? | Monoclonal antibodies are produced by a single B-cell clone and bind one epitope; polyclonal are from multiple clones binding multiple epitopes |
| Which components primarily form the platelet plug during primary hemostasis? | Activated platelets adhering to exposed collagen form the platelet plug. |
| How does warfarin act as an anticoagulant? | Warfarin inhibits vitamin K–dependent coagulation factor activation, preventing clot formation. |
| What laboratory detection method uses changes in light transmission to detect clot formation? | Photo-optical (photometric) clot detection measures changes in light to detect clots. |
| Which immunoglobulin class is primarily involved in allergic reactions and triggers histamine release? | IgE is involved in allergies and parasitic infections, triggering histamine release. |
| What is the primary clinical significance of Rh typing in blood transfusions? | Rh typing prevents hemolytic disease of the newborn and ensures transfusion compatibility. |
| What is the primary role of Factor III (Tissue Factor) in the coagulation cascade? | It triggers the extrinsic pathway by initiating the coagulation cascade upon vessel injury. |
| Which coagulation factor is responsible for activating Factor X in the extrinsic pathway? | Factor VIIa in complex with Tissue Factor (Factor III). |
| In the intrinsic pathway, which factor is activated first upon contact with exposed collagen? | Factor XII (Hageman factor). |
| What role does calcium (Factor IV) play in the coagulation cascade? | It serves as a required cofactor for multiple activation steps including prothrombinase complex formation. |
| Which complex is formed to activate prothrombin to thrombin in the common pathway? | Prothrombinase complex, composed of Factor Xa, Factor Va, calcium ions, and phospholipids. |
| Which factor stabilizes the fibrin clot by cross-linking fibrin strands? | Factor XIII (Fibrin-stabilizing factor). |
| Hemophilia A is caused by a deficiency in which coagulation factor? | Factor VIII (Antihemophilic factor). |
| What is the sequence of factor activation in the intrinsic pathway leading to Factor Xa formation? | XII → XI → IX → VIII → activation of X → Xa. |
| Which two coagulation pathways converge at Factor X during clot formation? | Intrinsic and extrinsic pathways. |
| What clinical test is used to monitor warfarin therapy by evaluating the extrinsic and common pathways? | Prothrombin Time (PT) test. |
| Which factor deficiency results in Hemophilia B? | Factor IX deficiency. |
| In addition to enzymatic factors, which components form the prothrombinase complex essential for thrombin generation? | Factor V, calcium ions, and phospholipid surfaces such as platelets. |
| What is the main role of Factor V in the coagulation cascade? | Acts as a cofactor in forming the prothrombinase complex facilitating thrombin production. |
| Which factor initiates the common pathway by being activated by intrinsic or extrinsic tenase? | Factor X (Stuart-Prower factor). |
| Which coagulation factor deficiency affects platelet adhesion and is linked to von Willebrand Disease? | Von Willebrand factor deficiency or dysfunction. |
| Factor I | Name: Fibrinogen Role: Converted by thrombin into fibrin, forming the stable clot mesh. Pathway: Common |
| Factor II | Name: Prothrombin Role: Converted by prothrombinase complex into thrombin, the key enzyme in clot formation. Pathway: Common |
| Factor III | Name: Tissue Factor (Thromboplastin) Role: Trigger of the extrinsic pathway; released from damaged tissue, not normally present in blood. Pathway: Extrinsic |
| Factor IV | Name: Calcium ions (Ca²⁺) Role: Required as a cofactor for multiple activation steps and complex formations. Pathway: Intrinsic, Extrinsic, and Common |
| Factor V | Name: Labile Factor Role: Cofactor for the prothrombinase complex; accelerates conversion of prothrombin to thrombin. Pathway: Common |
| Factor VII | Name: Stable Factor (Proconvertin) Role: Binds to tissue factor (III) and activates Factor X; initiates extrinsic pathway. Pathway: Extrinsic |
| Factor VIII | Name: Antihemophilic Factor A Role: Cofactor with Factor IXa in the intrinsic tenase complex, activating Factor X. Pathway: Intrinsic |
| Factor IX | Name: Christmas Factor Role: Activated by Factor XIa; forms intrinsic tenase complex with Factor VIIIa. Pathway: Intrinsic |
| Factor X | Name: Stuart-Prower Factor Role: Activated by intrinsic and extrinsic tenase complexes; beginning of common pathway by converting prothrombin to thrombin. Pathway: Common |
| Factor XI | Name: Plasma Thromboplastin Antecedent Role: Activated by Factor XIIa; activates Factor IX. Pathway: Intrinsic |
| Factor XII | Name: Hageman Factor Role: Activated by contact with exposed collagen or negatively charged surfaces; starts intrinsic pathway. Pathway: Intrinsic |
| Factor XIII | Name: Fibrin-stabilizing Factor Role: Activated by thrombin and calcium; cross-links fibrin strands to form a stable clot. Pathway: Common |
| HMWK (High-Molecular-Weight Kininogen) & PK (Prekallikrein) | Role: Cofactors that support activation of Factors XII and XI. Pathway: Intrinsic |
| True or False: Bone marrow examination includes aspiration and biopsy and is important for diagnosing blood disorders. | True |
| True or False: Prothrombin Time (PT) evaluates the intrinsic and common coagulation pathways. | False(PT evaluates extrinsic and common pathways; aPTT evaluates intrinsic and common pathways) |
| True or False: The Complete Blood Count (CBC) test measures red cell count, hemoglobin, hematocrit, and platelet function. | False (CBC measures platelet count but not platelet function tests) |
| True or False: Crossmatching is a compatibility test performed before blood transfusions to avoid immune reactions. | True |
| True or False: Rh-negative individuals lack the D antigen on their red blood cells. | True |
| True or False: The ABO blood group O contains both A and B antigens on red blood cells. | False (Blood group O lacks both A and B antigens) |
| True or False: Hemophilia A is a bleeding disorder caused by a deficiency of clotting factor VIII. | True |
| True or False: Leukemia is a cancer characterized by uncontrolled proliferation of abnormal red blood cells. | False (Leukemia involves uncontrolled proliferation of abnormal white blood cells, not RBCs) |
| True or False: Iron-deficiency anemia results from inadequate iron affecting hemoglobin synthesis. | True |
| True or False: The lymphoid lineage produces red blood cells, platelets, and monocytes. | False (Lymphoid lineage produces lymphocytes, not RBCs, platelets, or monocytes) |
| True or False: Hematopoietic stem cells are multipotent progenitors that give rise to all types of blood cells. | True |
| True or False: Platelets are complete cells derived from megakaryocytes and are essential for forming blood clots. | False (Platelets are cell fragments derived from megakaryocytes, not complete cells) |
| True or False: Neutrophils are the most abundant type of white blood cells and function primarily by phagocytizing bacteria and fungi | True |
| True or False: Red blood cells are nucleated cells with a lifespan of approximately 30 days. | False (RBCs are anucleate with a lifespan of about 120 days) |
| True or False: Plasma makes up about 55% of blood volume and contains water, electrolytes, proteins, hormones, and waste products. | True |