Blood 8 Flashcards

1
Q

What does Aspirin cause?

A

Irreversible inhibition of COX-1 and COX-2

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2
Q

What gives rise to Arachidonic Acid?

A

The phospholipid membranes of various cells

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3
Q

What happens when Arachidonic Acid is influenced by COX-1?

A

It can be converted to Thromboxane A2 (TXA2)

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4
Q

What happens when Arachidonic Acid is influenced by COX-2?

A

It can be converted to Prostacyclin

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5
Q

Where is COX-1 found?

A

In platelets

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6
Q

Where is COX-2 found?

A

In endothelial cells

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7
Q

What does Thromboxane A2 do (TXA2)?

A

Causes vasoconstriction and increased platelet aggregation

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8
Q

What does Prostacyclin do?

A

Dilates blood vessels and decreases platelet aggregation. Is anti-hemostatic

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9
Q

What does Aspirin have a stronger inhibitory effect on?

A

The COX-1 pathway that produces TXA2

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10
Q

What does the COX-1 pathway produce?

A

TXA2

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11
Q

What does the COX-2 Pathway produce?

A

Prostacyclin

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12
Q

What is the net effect of aspirin?

A

It dilates blood vessels and decreases platelet aggregation through by inhibiting the COX-1 pathway

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13
Q

Why is blood clotting necessary?

A

Because vasoconstriction and Platelet plug formation may not be effective enough

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14
Q

In a blood clot, what do the blood cells get trapped in?

A

A network of protein called fibrin

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15
Q

What does fibrin do in blood clotting?

A

Forms a net in the area of damage and traps cells that are present in the blood to prevent blood loss

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16
Q

Why do we need to produce fibrin from a precursor?

A

Because it is the main component of blood clots and we don’t need it all the time

17
Q

What is the soluble Fibrin precursor?

A

Fibrinogen

18
Q

When and Where is Fibrinogen present?

A

It is present all the time in the plasma

19
Q

Which enzyme catalyzes Fibrinogen to Fibrin?

A

Thrombin

20
Q

Why can’t we have Thrombin consistently present in the blood?

A

Because it would activate fibrinogen to fibrin

21
Q

What is the Precursor molecule to Thrombin?

A

Prothrombin

22
Q

What converts Prothrombin to Thrombin?

A

Prothrombinase

23
Q

How many plasma clotting factors are there?

A

12

24
Q

What is Plasma clotting factor I?

A

Fibrinogen

25
Q

What is Plasma Clotting Factor II?

A

Prothrombin

26
Q

What is Plasma Clotting Factor III?

A

Tissue Factor

27
Q

What is Plasma Clotting Factor IV?

A

Calcium

28
Q

What does Antihemophilic factor A do?

A

Prevent hemophilia A

29
Q

What does lack of Christmas factor cause?

A

Hemophilia type B

30
Q

Which factors require vitamin K for synthesis?

A

Prothrombin
Proconvertin
Christmas factor
Stuart-Prower factor