Platelets Flashcards

(42 cards)

1
Q

what is haemostasis?

A

the stoppage of bleeding

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2
Q

what features of the epithelium prevents adhesion?

A

nitric oxide and prostaglandins are secreted and collagen covered

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3
Q

what do smooth muscle cells do in the epithelium?

A

allow contraction and relaxation

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4
Q

what do alpha granules do?

A

contain adhesive proteins that cause a glue-like effect

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5
Q

what do dense granules do?

A

contain activators which activate other platelets

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6
Q

what does the vWF receptor bind to?

A

glycoprotein 1b59

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7
Q

what does collagen bind to?

A

alpha 2 beta 1 and glycoprotein 6

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8
Q

what does alpha II beta III bind to?

A

fibrinogen

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9
Q

how does tethering occur?

A

vWF binds to glycoprotein 1b59 causing a velcro effect

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10
Q

what is activation?

A

platelet releases granule contents, which opens up adhesion receptor

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11
Q

what binding occurs in activation?

A

collagen binding to glycoprotein 6

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12
Q

what is adhesion?

A

single layer of platelets bind to the exposed ECM

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13
Q

what binding occurs in adhesion?

A

collagen binding to alpha 2 beta 1

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14
Q

what happens in secretion?

A

platelet releases ADP and TxA2 which bind to their receptors

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15
Q

what is aggregation?

A

multiple layers of platelets bind to each other

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16
Q

what binding occurs in aggregation?

A

fibrinogen binds to alpha 2 beta 3

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17
Q

what does tirofiban do?

A

targets alpha 2 beta 3 so no aggregation

18
Q

what does aspirin and clopidogrel do?

A

inhibit activation of platelets so cannot form a clot

19
Q

what is bernard-souilier syndrome?

A

abnormality in glycoprotein 1b59 so collagen cannot bind

20
Q

what is glanzmann disease?

A

abnormality in the genes for alpha 2 beta 3

21
Q

what are the symptoms of platelet associated disease?

A

easy bruising, menstrual bleeding heavy, abdormal bleeding after surgery

22
Q

what are storage pool deficiencies?

A

caused by a lack of granules or their content or inability to empty them

23
Q

what is grey platelet syndrome?

A

lack of alpha granules and their contents

24
Q

what is zymogen?

A

inactive substance that is activated by enzymes

25
what is the purpose of coagulation?
helps form an insoluble mesh to help strengthen the clot
26
what is the key process of coagulation?
activation of thrombin
27
what does thrombin do?
converts fibrinogen to fibrin
28
how does initiation of coagulation begin?
tissue factor coming into contact with the blood
29
what does the tissue factor bind to?
factor 7 which becomes factor 7a
30
what does the binding of tissue factors cause?
the activation of F9 and F10
31
what does activation of F9 and F10 do?
switches on thrombin to convert the fibrinogen to fibrin
32
what does thrombin do once activated?
activates F5 and F8, which further activates F9 and F10
33
what does tissue plasminogen activator do?
released into the blood to allow the clot formation to be controlled
34
what is plasminogen?
an inhibitor that dissolves the blood clot
35
what is the extrinsic pathway?
rapid pathway activated by external trauma that causes blood to escape
36
what is the intrinsic pathway?
more complex, activated by inside trauma such as when collagen exposed
37
what types of haemophilia are sex linked?
A and B
38
what are the symptoms?
nose bleeds, brusing, gum bleeds, purpura and petechiae
39
how can you test for haemophilia?
coagulation screening
40
what is a prothrombin time test?
adds thromboplastin to activate factor 7 for the extrinsic pathway
41
what is an activated partial thromboplastin time test?
activates the intrinsic pathway
42
what happens if both of these tests are slow?
shows a defect in the common pathway