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Coagulation of blood - class-XI

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In a resting person, the saturation level of haemoglobin as blood leaves the tissue capillaries is approximately

  1. 75%

  2. 40%

  3. 3%

  4. 46%


Correct Option: A
Explanation:

The relationship between oxygen levels and hemoglobin saturation is indicated by the oxygen-hemoglobin dissociation (saturation) curve at high partial pressures of O2 (above about 40 mm Hg), hemoglobin saturation remains rather high (typically about 75 - 80%). This rather flat section of the oxygen-hemoglobin dissociation curve is called the 'plateau'. 40 mm Hg is the typical partial pressure of oxygen in the cells of the body. Examination of the oxygen-hemoglobin dissociation curve reveals that, under resting conditions, only about 20 - 25% of hemoglobin molecules give up oxygen in the systemic capillaries. This is significant (in other words, the 'plateau' is significant) because it means that you have a substantial reserve of oxygen. In other words, if you become more active, & your cells need more oxygen, the blood (hemoglobin molecules) has lots of oxygen to provide When you do become more active, partial pressures of oxygen in your (active) cells may drop well below 40 mm Hg.

So, the correct option is '75%'.

Which one of the following is not related to the clotting of blood?

  1. Fibrin

  2. Fibrinogen

  3. Ca++

  4. Na+ of the plasma


Correct Option: D

The process of blood clot formation within the circulatory system is

  1. Thrombosis

  2. Thrombocytes

  3. Thrombin

  4. Thrombocytopenia


Correct Option: A
Explanation:

Thrombosis is the formation of a blood clot inside a blood vessel, obstructing the flow of the blood through the circulatory system.
Thrombocytes are also called 'platelets' and these are the blood cells, whose function is to stop bleeding.
Thrombin is the enzyme that converts fibrinogen to fibrin, and a reaction that leads to the formation of fibrin clot.
Thrombocytopenia is the disorder in which there is an abnormally low amount of platelets.
Thus, the correct answer is option (A).

Platelets are a source of ______________.

  1. Fibrinogen

  2. Calcium

  3. Thromboplastin

  4. Haemoglobin


Correct Option: C
Explanation:

Thromboplastin is a plasma protein aiding blood coagulation through catalyzing the conversion of prothrombin to thrombin. It is a complex enzyme that is found in brain, lung, and other tissues and especially in blood platelets and that functions in the conversion of prothrombin to thrombin in the clotting of blood—called also thrombokinase.


So, the correct answer is 'Thromboplastin'.

Blood clotting vitamin is?

  1. A

  2. $B _6$

  3. $B _{12}$

  4. K


Correct Option: D
Explanation:

Vitamin K plays a key role in helping the blood clot, preventing excessive bleeding. Unlike many other vitamins, vitamin K is not typically used as a dietary supplement. Vitamin K is actually a group of compounds. The most important of these compounds appears to be vitamin K1 and vitamin K2


So, the correct answer is 'K'.

When whole blood is stored with an anticoagulant at $4^oC$, the K+ ions move out from the RBC into the plasma. The most likely reasons for this is that

  1. RBC haemolyses and hence leakage of K+ ions

  2. K+ ions become more mobile at $4^oC$

  3. Active transport ceases resulting in ionic equilibrium

  4. The anticoagulant attracts the K+ ions into the plasma


Correct Option: B

Which of the following statements are correct?


(i) $Ca^{+2}$ is necessary for blood coagulation.
(ii)Coagulation in blood vessel is prevented during normal condition by heparin.
(iii)Clotting of blood involves changes of fibrinogen to fibrin by thrombin.
(iv)Blood clotting involves cascading process involving a number of factors present always in the active form.

  1. (i), (iii) and (iv)

  2. (ii) and (iv)

  3. (i)  and (iii)

  4. (iii) and (iv)


Correct Option: C
Explanation:

Ca${+2}$ is necessary for blood coagulation -

1. Conversion of prothrombin to thrombin, in presence of prothrombin activator and Ca${+2)$
2. Conversion of fibrinogen monomers in to fibrin fibres  
III fibrinogen is thin soluable protein that is converted to insoluable protein fibres by thrombin
So, the correct answer is 'i and iii'

Identify $A,B$ and $C$ in the given blood clotting process.
Damage platelets release $A$;$A$ converts $D$ into $B$ in presence of Calcium ions. $B$ converts $C$ into Fibrin thread.

  1. A-Thromboplastin,B-Prothrombin,C-Fibrinogen

  2. A-Thrombin,B-Fibrinogen,C-Thrombo-kinase

  3. A-Thromboplastin,B-Thrombin,C-Fibrinogen

  4. A-Prothrombin,B-Thrombin,C-Fibrinogen


Correct Option: A

Choose the correct answer from the four options given.
During blood coagulation, thromboplastin is released by?

  1. RBC

  2. Clumped platelets and damaged tissues

  3. Blood plasma

  4. Leucocyte


Correct Option: A

The anticoagulant most commonly used to store blood in the blood banks is

  1. Sodium nitrate

  2. Sodium fluoride

  3. EDTA

  4. Acid citrate dextrose


Correct Option: D
Explanation:

Acid citrate dextrose solution (anticoagulant citrate dextrose solution) is a solution of citric acid, sodium citrate and dextrose in water. It is mainly used as an anticoagulant to preserve blood specimens required for tissue typing because it removes the calcium ion which plays an important role in blood clotting reaction.

Blood clot formed in vessels blocking the flow of the blood is called as the

  1. Bolus

  2. Pus

  3. Ulcer

  4. Thrombus


Correct Option: D
Explanation:
A thrombus is a blood clot that forms in a vessel and remains there. Clot leads to the coagulation of particles forming a thickened mass. It is traveled from the site of its production to another location in the body. It can block the flow of blood in that location depriving tissues of normal blood flow and oxygen. This can result in damage, destruction (infarction), or even death of the tissues (necrosis) in that area. 

Anticoagulant is 

  1. Citrate and oxalate

  2. Dicumarol

  3. Heparin

  4. All of the above


Correct Option: D
Explanation:

All of them are anticoagulant. 'Citrate' is in liquid form and is used for coagulation tests, as well as in blood transfusion bags. It binds with the calcium ion, preventing the coagulation proteins from using them and thus prevent blood from clotting and this can be reversed with the addition of calcium. It can be in the form of sodium citrate or acid-citrate-dextrose.
'Oxalate' is an anticoagulant, which has a mechanism similar to that of citrate. It is used in fluoride oxalate tubes, used to determine glucose and lactate levels.
'Dicoumarol' is a naturally occurring anticoagulant that functions as a functional vitamin K depleter. It is also used in biochemical experiments as an inhibitor of reductases.
'Heparin' is widely used anticoagulant. It works by activating antithrombin III, which blocks thrombin from clotting blood. It can be used in vivo as an injectable anticoagulant. It can also be used to form an inner anticoagulant surface on various experimental and medical devices such as test tubes and renal dialysis machines.

Thus, the correct answer is option D. 

You are required to draw blood from a patient and to keep it in a test tube for analysis of blood corpuscles and plasma. You are also produced with the following four types of test tubes. Which of them will you not use for the purpose?

  1. Test tube containing calcium bicarbonate

  2. Chilled test tube

  3. Test tube containing heparin

  4. Test tube containing sodium oxalate


Correct Option: A
Explanation:
  • Clotting of collected blood can be prevented by :
  • Coating test tubes with silicon (which produces non-wettable surface similar in its smoothness to the endothelial lining of blood vessels)
  • Adding chelating agents (includes trisodium citrate, sodium oxalate, and sodium EDTA) which remove calcium which is important for blood coagulation, and prevent blood clotting. Hence test tube containing calcium carbonate cannot be used.
  • Adding heparin, the most powerful anticoagulant which acts indirectly by activating plasma antithrombin III. 
  • Heparin is effective both in vivo and in vitro.
    Hence, the correct answer is A.

A drop of each of the following, is placed separately on four slides. Which one of them will not coagulate?

  1. Blood serum

  2. Sample from thoracic duct of lymphatic system

  3. Whole blood from pulmonary vein

  4. Blood plasma


Correct Option: A
Explanation:

Blood serum is the component of blood that has neither a blood cell nor a clotting factor. Serum includes all proteins not used in blood clotting (coagulation) and all the electrolytes, antibodies, antigens, hormones, and any exogenous substances (e.g., drugs and microorganisms). Hence, serum does not clot. Thus, the correct answer is option A.

The blood does not clot inside the body because of 

  1. Oxygenation of blood

  2. Movement of blood

  3. Absence of active clotting factors in normal condition

  4. None of the above


Correct Option: C
Explanation:

In blood, platelets produce thromboplastin only at the site of injury and not in the normal condition which initiates the process of blood clotting. There is an another factor or protein called fibrinogen. When it makes contact with oxygen, it polymerizes to fibrin wires, creating a heap of fibrin wires, in which the various blood cells get caught, thus clogging the wound. Because all the oxygen in the blood is already bound to haemoglobin (red cells), it can't interact with the fibrinogen, thus cannot create a clot. Thus, the correct answer is option C.

Labile factor is associated with

  1. Blood coagulation

  2. Blood group

  3. Blood immunity

  4. Blood circulation


Correct Option: A
Explanation:

Coagulation (blood clotting) is a complex process that involves a positive feedback system. The factors involved are-
Factor I Fibrinogen
Factor II Prothrombin
Factor III Tissue Factor (Thromboplastin)
Factor IV Calcium
Factor V Labile factor, proaccelerin, Ac-globulin
Factor VII Stable factor, proconvertin
Factor VIII Antihaemophilic globulin (AHG), Antihaemphilic factor A 
Factor IX Christmas factor, plasma thromboplastin component
Factor X Stuart power factor
Factor XI Plasma thromboplastin antecedent
Factor XII Hageman factor
Factor XIII Fibrin stabilising factor
Vitamin K is essential for synthesis of factors II, VII, IX and X.
Their numbers represent the order in which they were discovered.

Which clotting factor has been rejected now?

  1. VIII

  2. VII

  3. VI

  4. V


Correct Option: C
Explanation:

Clotting factor VIII is the antihemophilic factor while factor VII serves as an accelerator of serum prothrombin conversion. Clotting factor V is proaccelerin. Clotting factor VI was once considered to have clotting function but is now rejected. Thus, the correct answer is C. 

Which is unrelated to blood coagulation?

  1. Fibrinogen

  2. Fibrin

  3. Bilirubin

  4. Calcium


Correct Option: C
Explanation:

One of the initial steps in blood coagulation is the release of thromboplastin that interacts with other clotting factors and calcium ions. Fibrinogen is a soluble blood protein that becomes insoluble and forms fibrin strands during last steps of clotting. Bilirubin is the breakdown product of hemoglobin. Thus, the correct answer is C.

An anticoagulant is

  1. Heparin

  2. Hirudin

  3. EDTA

  4. All of the above


Correct Option: D
Explanation:

Heparin is a natural anticoagulant in the body. Hirudin is an anticoagulant produced by leech while sucking the blood of the host. EDTA acts as an anticoagulant by removing calcium ions from the blood and thus chelates with them.

Thus, the correct answer is option D. 

During blood clotting, fibrin is produced by

  1. Thrombokinase

  2. Prothrombin

  3. Liver

  4. Proteolysis


Correct Option: B
Explanation:
During the process of blood clotting, platelets release thromboplastin which converts prothrombin into thrombin. This thrombin in the presence of calcium ions is responsible for conversion of fibrinogen into insoluble fibrin, thus forming a clot
So, the correct answer is 'Prothrombin'

Which of the following is an anticoagulant and checks blood coagulation in blood vessels?

  1. Prothrombin

  2. Globulin

  3. Thromoboplastin

  4. Heparin


Correct Option: D
Explanation:

Heparin is a natural anticoagulant produced in the liver and helps in checking the clotting of blood inside blood vessels. 

During blood clotting, which of the following is used?

  1. Co

  2. $Ca^{++}$

  3. $Na^+$

  4. $Cl^-$


Correct Option: B
Explanation:

Blood clotting (coagulation) is the process by which blood vessels repair ruptures after injury. Calcium works together with vitamin K and a protein, called as fibrinogen in the clotting cascade, which forms fibrin. The fibrin hardens very quickly to form a scab over the wound. 

Hence, correct answer is option B.

Prothrombin is found in

  1. Intestine and helps in cellulose digestion

  2. Liver and helps in production of bile

  3. Blood and gives red colour to blood

  4. Blood and helps in blood clotting


Correct Option: D
Explanation:

Prothrombin is a plasma protein which is converted into thrombin in the presence of thromboplastin released by platelets at the site of injury. The thrombin then converts protein fibrinogen into insoluble fibrin and thus aids in blood clotting. 

Which of the following does not play a role in blood coagulation?

  1. Vitamin K

  2. Vitamin D

  3. Calcium ions

  4. Fibrinogen


Correct Option: B
Explanation:

Coagulation (also known as clotting) is the process by which blood changes from a liquid to a gel, forming a clotThe activation of some of the enzymes in the coagulation cascade is dependent on vitamin K. In the presence of other plasma proteins (clotting factors) and calcium ions, this leads to the activation of a protein called as factor X. 

Fibrinogen or factor I is a blood plasma protein that is made in the liver. It is one of 13 coagulation factors responsible for normal blood clotting. 
Vitamin D is required for the formation of strong bones and does not play any role in blood clotting. 
Hence, the correct answer is option B.

The function of vitamin K is in

  1. Regulation of calcium and phosphorus metabolism

  2. Blood clotting

  3. Respiration

  4. Carbohydrate metabolism


Correct Option: B
Explanation:

Vitamin K plays an important role in blood clotting. It is required by the body for the synthesis of prothrombin by the liver. Prothrombin is a plasma protein which gets converted into thrombin during the clotting process and thus helps in clotting mechanism. Thus, the correct answer is option B. 

An anticoagulant used for preventing clotting in vitro is sodium oxalate. It prevents clot formation by

  1. Combining with cations in the blood

  2. Inhibiting clotting factor VIII activity

  3. Getting itself deposited over the surface of ROC

  4. Blocking the fibrinogen activity


Correct Option: A
Explanation:

Sodium oxalate (like citrates) can be used to remove calcium ions (Ca$^{2+}$) from the blood plasma. The oxalate prevents clotting by forming insoluble calcium salts, thus removing ionic calcium (or cations).
Therefore, the correct answer is option A.

In human, the prothrombin required for blood clotting is produced in

  1. Liver

  2. Stomach

  3. Pancreas

  4. Spleen


Correct Option: A
Explanation:

Prothrombin is a plasma glycoprotein produced in the liver. It gets converted into thrombin by a clotting factor prothrombinase which further transforms fibrinogen into fibrin which combines with platelets to form clot. 

Blood doesn't clot in the absence of vitamin K because it is

  1. An essential component of the clot

  2. An essential component of the platelets

  3. Essential for synthesis of prothrombin

  4. Essential for synthesis of fibrinogen


Correct Option: C
Explanation:

Blood clotting factors are needed for blood to clot (coagulation). Prothrombin, or factor II, is one of the clotting factors made by the liver. Vitamin K is needed to make prothrombin and other clotting factors. So, blood does not clot in the absence of Vitamin K because it is essential for the synthesis of prothrombin and not because it is an essential component of the clot, platelets or essential for fibrinogen. 

Thus, the correct answer is option C. 

Clotting of blood is brought about by

  1. RBCs

  2. WBCs

  3. Platelets

  4. Plasma


Correct Option: C
Explanation:

Platelets are tiny components in blood that initiate blood clots by releasing thromboplastin at the site of injury. Thromboplastin initiates the process of blood clotting. Thus, the correct answer is option C.

Coagulation of blood in vessels is prevented during normal circulation by

  1. Heparin

  2. Prothrombin

  3. Plasminogen

  4. Thromplastin


Correct Option: A
Explanation:

Heparin is a natural anticoagulant of the body produced in the liver. It is normally found circulating through the bloodstream. It prevents the blood clotting in veins and arteries during normal circulation.

Thus, the correct answer is option A.

Haemophilia is a condition where there is 

  1. A failure in the clotting mechanism of blood

  2. A delay in the clotting of blood

  3. No production of haemoglobin in the blood

  4. No production of melanin in the skin


Correct Option: A
Explanation:

  • Haemophilia is a group of hereditary genetic disorders in which the body's blood clotting ability fails to stop bleeding if any cut happens.
  • Thus, it is also known as bleeder's disease. One type of haemophilia called haemophilia A happens due to the deficiency of blood clotting factor VIII. 
Therefore, the correct answer is option A.

Which of the metallic ions is essential for blood clotting?

  1. Na$^+$

  2. Ca$^{++}$

  3. K$^+$

  4. Fe$^{++}$


Correct Option: B
Explanation:
Calcium ions along with vitamin K are essential for clotting process as all the reaction in the clotting process take place in the presence of calcium ions. It is very important for the conversion reaction of prothrombin into the thrombin.
Therefore, the correct answer is option B.

Thrombin occurs in vertebrates in 

  1. The blood and gives it red colour

  2. The blood and is important for clotting

  3. The liver and is important for bile secretion

  4. The stomach and digests proteins


Correct Option: B
Explanation:
Thrombin is a substance formed in one of the steps of clotting process from prothrombin. Thrombin, in turn, converts fibrinogen into fibrin which ultimately forms a clot. 
Thus, the correct answer is option B. 

In human, the prothrombin required for blood clotting is produced in 

  1. Liver

  2. Stomach

  3. Pancreas

  4. Spleen


Correct Option: A
Explanation:

In human, the prothrombin required for blood clotting is produced in the liver in the presence of vitamin K. It gets converted into thrombin in the presence of thromboplastin and thus forms an essential step in the clotting process. 

Therefore, the correct answer is option A.

Heparin in blood is released from  

  1. Clumped platelets

  2. Mast-cell granules

  3. Non-granulocytes

  4. Granulocytes


Correct Option: B
Explanation:
Mast-cell is a type of granulocyte. It contains basophil granules that secrete heparin and histamine in blood. They play important role in wound healing. 
Therefore, the correct answer is option B.

The blood component essential for blood coagulation is

  1. Albumin

  2. Globulin

  3. Fibrinogen

  4. Vitamins


Correct Option: C
Explanation:

Coagulation or clotting is a process where the blood in liquid form turns into a gel. The mechanism involves activation, adhesion and aggregation of platelets and deposition of fibrinogen. Though this is an inactive clotting factor, it helps to clot by the formation of insoluble fibrin.

Therefore, the correct answer is option C.

The function of vitamin K is in 

  1. Regulation of calcium and phosphorus metabolism

  2. Blood clotting

  3. Respiration

  4. Carbohydrate metabolism


Correct Option: B
Explanation:
Vitamin K plays an important role in blood clotting. It is required by the body for the synthesis of prothrombin by the liver. Prothrombin is a plasma protein which gets converted into thrombin during the clotting process and thus helps in clotting mechanism. 
Thus, the correct answer is option B. 

Blood clot inside a blood vessel is known as  

  1. Thrombosis

  2. Agglutinin

  3. Clot

  4. Thrombus


Correct Option: D
Explanation:

blood clot that forms inside one of your veins or arteries is called a thrombus. A thrombus may also form in your heart. A thrombus that breaks loose and travels from one location in the body to another is called an embolus.

So, the correct option is 'Thrombus'.

Read the statements given below and choose the correct sequence of events leading the formation of a blood clot.
(i) Calcium activates an enzyme.
(ii) Fibrin binds platelets to form a 'plug'.
(iii) Thrombin converts fibrinogen to fibrin.
(iv) Platelets and damaged cells release an activator.

  1. (i), (ii), (iii), (iv)

  2. (ii), (i), (iii), (iv)

  3. (iii), (iv), (i), (ii)

  4. (iv), (i), (iii), (ii)


Correct Option: D
Explanation:
The process of blood clotting starts with the release of thromboplastin from damaged cells and platelets. Thromboplastin converts plasma protein prothrombin into thrombin in the presence of calcium ions. Thrombin then converts soluble plasma protein fibrinogen into fibrin which binds platelets to form a clot. 
Therefore, the correct answer is option D. 

What happens when a clot occurs in an undamaged blood vessel?

  1. The person would bleed to death.

  2. A scab will form on the skin surface.

  3. Platelets stick to the edges of the cut and to one another, forming a plug.

  4. The flow of blood to tissues beyond the clot may be cut off.


Correct Option: D
Explanation:

When a clot occurs in an undamaged blood vessel, It stops the flow of blood to the rest of the tissue beyond the clot as, the blood can't flow through the clot. It causes paralysis in most of the cases. 

Therefore, the correct answer is option D.

Which enzyme induces lysis of fibrinogen to fibrin during fibrinolysis?

  1. Plasmin

  2. Thrombin

  3. Fibrin

  4. Trypsin


Correct Option: B
Explanation:

Blood-clotting proteins circulate in the blood plasma in an inactive form, poised to participate in blood coagulation upon tissue injury. Blood-clotting proteins generate thrombin, an enzyme that converts fibrinogen to fibrin, and a reaction that leads to the formation of a fibrin clot.

Therefore, the correct answer is option B.

In human, the prothrombin required for blood clotting is produced inside the

  1. Liver

  2. Blood

  3. Bone

  4. Spleen


Correct Option: A
Explanation:

Prothrombin is a coagulation or clotting factor that is needed for the normal clotting of blood. A cascade of biochemical events leads to the formation of the final clot. In this cascade, prothrombin is a precursor to thrombin.
Prothrombin is produced in the liver and is modified in the presence of vitamin K.
Therefore, the correct answer is option A.

The component of blood which prevents its coagulation in the blood vessels is

  1. Haemoglobin

  2. Plasma

  3. Thrombin

  4. Heparin


Correct Option: D
Explanation:
Heparin is considered as the natural anticoagulant of the body which prevents blood clotting in blood vessels. It prevents the formation of thrombin. 
Hence, correct answer is option D. 

Which of the following happens if platelets are absent in blood?

  1. Severe bleeding in case of injury or cuts

  2. Body cannot form clots

  3. Thrombocytopenia

  4. All of the above


Correct Option: D
Explanation:

Platelets are components of blood. They prevent bleeding by activating coagulation mechanisms hence contribute in wound healing. They play an important role in inflammatory and proliferative events. If the platelets are not present in the blood there will be continuous loss of blood by the blood vessels which may prove fatal.

Blood clotting can be prevented in a test tube by adding a little

  1. Sodium oxalate

  2. Sodium chloride

  3. Sodium hydroxide

  4. Ammonium chloride


Correct Option: A
Explanation:

Sodium oxalate acts as an anticoagulant. Sodium oxalate inhibits blood coagulation by forming an insoluble complex with calcium because calcium is a cofactor that involves in the clotting process. Hence, option A is the correct answer.

Blood does not clot inside the blood vessels due to the presence of

  1. Heparin

  2. Fibrinogen

  3. Vitamin K

  4. Thrombin


Correct Option: A
Explanation:
Liver produces an anticoagulant, hetero-polysaccharide called heparin which prevent clotting inside the blood vessels. Heparin is a highly sulfated glycosaminoglycan and is also used to form an inner anticoagulant surface on experimental and medical devices.
Fibrinogen is a glycoprotein that helps in the formation of blood clots.
Thrombin is a blood coagulation factor.
Thus, the correct answer is option A. 

Which of the following does not play a role in blood coagulation?

  1. Vitamin K

  2. Vitamin D

  3. Calcium ions

  4. Fibrinogen


Correct Option: B
Explanation:

Fibrinogen is factor I and its source is liver. When fibrinogen is converted into fibrin by thrombin, it forms long strands, that compose the mesh network for clot formation.
Calcium is factor IV and its source is bone and absorption from food in gastrointestinal tract. It works with many clotting factors for activation of the other clotting factors.
Vitamin K is an essential factor to various protein enzymes, that are a part of coagulation cascade.
Vitamin D is found in fish and liver oil and is essential for absorption of calcium.
Thus, the correct answer is option B.

A drop of each of the following, is placed separately on four slides. Which of them will not coagulate?

  1. Blood plasma

  2. Blood serum

  3. Sample from the thoracic duct of lymphatic system

  4. Whole blood from pulmonary vein


Correct Option: B
Explanation:

Coagulation is the process by which the blood changes from a liquid to a gel-like form. Blood plasma will coagulate, as, it has clotting factors in it and fibrinogen protein.
Serum will not coagulate, as, it do not have any clotting factors and fibrinogen.
Lymph is more like blood plasma, so, contains clotting factors and will coagulate.
Whole blood obviously coagulate for containing the same above factors.
Thus, the correct answer is option (B).

Which of the following protein is responsible for spontaneous blood clotting?

  1. Factor XII

  2. Factor XI

  3. Factor IX

  4. Factor VIII


Correct Option: D
Explanation:

Factor VIII is an important blood clotting protein, which is also known as anti-haemophilic factor (AHF), encoded by the F$ _{8}$ gene.
Factor VIII circulates in the bloodstream in an inactive form, bound to another molecule, called Von Willebrand factor, until an injury that damages the blood vessels occurs. When injury occurs, the factor VIII is activated and separates from Von Willebrand factor. The active protein interacts with another coagulation factor, called factor IX. This interaction leads to a chain of additional reactions, that form a blood clot.

Which of the following are required for blood clotting?

  1. K${^+}$, thromboplastin

  2. Ca${^+}$${^+}$, thromboplastin

  3. Na${^+}$, Ca${^+}$${^+}$

  4. K${^+}$, prothrombin


Correct Option: B
Explanation:

When there is an injury and blood is shed, the platelets disintegrate and liberate thromboplastin or factor III. Certain amount of thromboplastin is also derived from the damaged tissues of the injured locality.
Thromboplastin converts prothrombin into thrombin with the help of calcium ions and thrombin interacts with fibrinogen forming fibrin. This is clot.
Calcium is the Factor IV and it acts as a co-factor in the coagulation process.
Thus, the correct answer is option (B).

A chemical that prevents blood clotting is most useful in the treatment of

  1. Leukemia

  2. Anaemia

  3. Coronary thrombosis

  4. Haemophilia


Correct Option: C
Explanation:
A chemical that prevents blood clotting is most useful in the treatment of coronary thrombosis.
Coronary thrombosis is a blockage of the flow of blood to the heart, caused by a blood clot in a coronary artery. It is associated with narrowing of blood vessels subsequent to clotting. Thus, diluting of blood is an effective treatment in coronary thrombosis.
Leukemia is a cancer of blood-forming tissues, hindering the body's ability to fight infection.
Anaemia is a condition in which the blood doesn't have enough healthy red blood cells.
Haemophilia is a disorder in which blood doesn't clot normally. Thus, the correct answer is option C.

Blood clot is mainly due to

  1. Plasma and RBC

  2. Plasma and thrombocytes

  3. Heparin and corpuscles

  4. Fibrin and corpuscles


Correct Option: D
Explanation:

The presence of calcium and other clotting factors, Factor X activates an enzyme called prothrombin activator. The enzyme prothrombin activator then converts plasma protein prothrombin into thrombin. Thrombin is the enzyme which in turn converts fibrinogen into fibrin. Polymerized fibrin together with platelets(corpuscles) forms a clot at the wound site. Hence blood clot is mainly due to fibrin and corpuscles.

So the correct answer is 'Fibrin and corpuscles'.

Vitamin K is required for

  1. Formation of thromboplastin

  2. Conversion of fibrinogen to fibrin

  3. Conversion of protrombin to thrombin

  4. Synthesis of prothrombin


Correct Option: D
Explanation:

The mechanism of blood clotting involves the presence of calcium and other clotting factors, Factor X activates an enzyme called prothrombin activator. The enzyme prothrombin activator then converts plasma protein prothrombin into thrombin. Thrombin is the enzyme which in turn converts fibrinogen into fibrin. Polymerized fibrin together with platelets forms a clot at the wound site. The prothrombin is a plasma protein synthesized in the liver. Vitamin K is essential for the synthesis of prothrombin.

So, the correct answer is 'synthesis of prothrombin'.

Thromboplastin required for blood clotting is produced by

  1. Platelets

  2. Erythrocytes

  3. Monocytes

  4. Lymphocytes


Correct Option: A
Explanation:

Thromboplastin is a plasma protein aiding blood coagulation through catalyzing the conversion of prothrombin to thrombin. It is a complex enzyme that is found in brain, lung, and other tissues and especially in blood platelets and that functions in the conversion of prothrombin to thrombin in the clotting of blood—called also thrombokinase.


So, the correct answer is 'Platelets'.

Protein required for coagulation of blood is

  1. Haemoglobin

  2. Globulin

  3. Fibrinogen

  4. Albumin


Correct Option: C
Explanation:
The mechanism of blood clotting involves the presence of calcium and other clotting factors, Factor X activates an enzyme called prothrombin activator. The enzyme prothrombin activator then converts plasma protein prothrombin into thrombin. Thrombin is the enzyme which in turn converts fibrinogen into fibrin. Polymerized fibrin together with platelets forms a clot at the wound site. Hence Protein required for coagulation of blood is Fibrinogen. It is a blood plasma protein made in the liver and present in circulating blood.
So, the correct answer is 'Fibrinogen'

Enzyme causing lysis of fibrin during fibrinolysis is

  1. Fibrinogen

  2. Plasmin

  3. Thrombin

  4. VIII Platelet factor


Correct Option: B
Explanation:

Fibrinolysis is a process that prevents blood clots from growing and becoming problematic. This process has two types: primary fibrinolysis and secondary fibrinolysis. The primary type is a normal body process, whereas secondary fibrinolysis is the breakdown of clots due to a medicine, a medical disorder, or some other causes. In fibrinolysis, a fibrin clot, the product of coagulation, is broken down. Its main enzyme plasmin cuts the fibrin mesh at various places, leading to the production of circulating fragments that are cleared by other proteases or by the kidney and liver. Hence Enzyme causing lysis of fibrin during fibrinolysis is plasmin.

So, the correct answer is 'Plasmin'.

The coagulation of blood occurs due to

  1. Destruction of erythrocytes.

  2. Destruction of leucocytes.

  3. Change of fibrinogen into fibrin.

  4. Formation of serum.


Correct Option: C
Explanation:
The mechanism of blood clotting involves The presence of calcium and other clotting factors, Factor X activates an enzyme called prothrombin activator. The enzyme prothrombin activator then converts plasma protein prothrombin into thrombin. Thrombin is the enzyme which in turn converts fibrinogen into fibrin. Polymerized fibrin together with platelets forms a clot at the wound site. Hence The coagulation of blood occurs due to change of fibrinogen into fibrin.
So, the correct answer is 'Change of fibrinogen into fibrin'.

Thrombokinase is produced in

  1. RBC

  2. WBC

  3. Blood vessels

  4. Blood clotting


Correct Option: D
Explanation:

Thrombokinase is also known as thromboplastin. It is a complex enzyme which aids in clotting of blood. It is present in platelets and some body tissues. When the platelets aggregate at the site of injury, thrombokinase is released from platelets and damaged tissues. Thrombokinase converts prothrombin into thrombin which acts as an enzyme and converts fibrinogen into fibrin threads. The fibrin threads form a clot at the site of injury. Hence thrombokinase is produced in blood clotting.

So, the correct answer is 'Blood clotting'

During blood coagulation, vitamin K helps in

  1. Formation of prothrombin

  2. Formation of thromoboplastin

  3. Conversion of fibrinogen into fibrin

  4. Conversion of prothrombin to thrombin.


Correct Option: A

Blood protein which initiates blood coagulation is

  1. Prothrombin

  2. Thrombin

  3. Fibrinogen

  4. Fibrin


Correct Option: A
Explanation:
Prothrombin is a plasma protein essential for blood clotting. Whenever there is an injury, prothrombin activator complex is formed. Prothrombin is converted into thrombin by activators. Thrombin acts as an enzyme and converts plasma protein fibrinogen into fibrin threads which form a clot at the site of injury and bleeding is stopped.
So, the correct answer is 'Prothrombin'.

Which one of the following substances, if introduced in blood stream would cause coagulation of blood at the site of its introduction?

  1. Prothrombin

  2. Fibrinogen

  3. Thromboplastin

  4. Heparin.


Correct Option: C

Find the correct explanations about blood not clotting inside the vessels
1. Speedy flow prevents accumulation of fibrin threads if formed
2. Absence of anticoagulant heparin having antithrombin activity
3. Smoothness of endothelial lining preventing rupturing of platelets and formation of thromboplastin
4. Presence of a layer of negetively charged protein over the inner surface of endothelium that attracts clotting factors.

  1. 1, 2, 3 correct

  2. 1, 2 correct

  3. 2, 4 correct

  4. 1, 3 correct.


Correct Option: D

Which one of the following proteins is involved in the coagulation of blood

  1. Globulin

  2. Fibrinogen

  3. Albumin

  4. Serum amylase.


Correct Option: B

In extrinsic clotting pathway, active factor VI activates factors

  1. X and XI

  2. IX and X

  3. IX and XI

  4. XI and XII.


Correct Option: B

Which one functions as enzyme in blood clotting

  1. Prothrombin

  2. Calcium

  3. Thrombin

  4. Fibrin.


Correct Option: C

Identify the correct sequence of blood coagulation (a) Activation of prothrombin (b) Formation of prothrombin activator (c) Formation of blood clot (d) Conversion of fibrinogen to fibrin

  1. b - d - a - c

  2. b - a - d - c

  3. a - d - c - b

  4. a - b - c - d


Correct Option: B
Explanation:
Blood coagulation occurs in the following sequence:
  • Whenever there is rupture of blood vessels or damage is caused to blood, a complex of substances called prothrombin activator complex is formed. 
  • The activators convert prothrombin into thrombin.
  • Thrombin acts as an enzyme and converts fibrinogen into fibrin threads.
  • Fibrin threads accumulate and clump to form blood clot at the wound site.
So, the correct answer is 'b- a- d- c'.

The factor which initiates intrinsic pathway of blood clotting and triggers cascade reaction is

  1. Antihaemophiliac factor (VIII)

  2. Christmas factor (IX)

  3. Stuart-Prower factor (X)

  4. Hageman's factor (XII).


Correct Option: D

Thrombokinase is associated with

  1. Elimination of area and other excretory products from the body

  2. Production of erythrocytes from the bone marrow

  3. Pulmonary and systemic circulation

  4. Cardiac cycle and its regulation

  5. Enzymatic reactions in coagulation of blood.


Correct Option: E

Thrombokinase is associated with

  1. Ellimination of urea and other excreatory products from the body.

  2. Production of erythrocytes from the bone marrow.

  3. Pulmonary and systematic circulation.

  4. Cardiac cycle and its regulation

  5. Enzymatic reactions in coagulation of blood.


Correct Option: E
Explanation:

Thrombokinase is a substance present in platelets which are necessary for coagulation of blood. Thromboplastin helps in the conversion of prothrombin to thrombin in the presence of calcium which is the vital step in coagulation of blood.

Hence, the correct option is E.

Which one has no clotting property?

  1. Blood

  2. Lymph

  3. Tissue fluid

  4. None of the above.


Correct Option: A

Blood agglutination tests are used in

  1. Antigen antibody reaction

  2. Animal relations

  3. Immunity

  4. None of the above


Correct Option: A
Explanation:
Blood agglutination tests are used in Antigen-antibody reactions. The clumping of particles is called as agglutination. Clumping occurs when an antigen is mixed with its corresponding antibody. When people are given blood transfusions of the wrong blood group, the antibodies react with the incorrectly transfused blood group and as a result, the erythrocytes clump up and stick together causing them to agglutinate 
So, the correct answer is 'Antigen-antibody reaction'.

Blood precipitation test was proposed by

  1. Wallace

  2. Nuttal

  3. Bateson

  4. Needham


Correct Option: A
Explanation:
Blood precipitation test was proposed by Wallace. Blood precipitation reactions are based on the interaction between antibodies and antigens. They are based on two soluble reactants (Antigen and antibody) that come together to make one insoluble product(Antigen-Antibody complex), the precipitate. 
So, the correct answer is 'Wallace'.

Conversion of fibrinogen to fibrin is catalysed by

  1. Thrombin

  2. Prothrombin

  3. Thromboplastin

  4. All of these


Correct Option: A
Explanation:
Thrombin catalyzes the conversion of fibrinogen (factor I)—a soluble plasma protein into long, sticky threads of insoluble fibrin . The fibrin threads form a mesh that traps platelets, blood cells, and plasma.The fibrin mesh work begins to contract in a short period of time and prevents blood loss. 
So, the correct answer is 'Thrombin'

During the process of blood coagulation, vitamin k helps in

  1. The formation of thromboplastin

  2. The conversion of fibrinogen to fibrin

  3. The conversion of prothrombin to thrombin

  4. The formation of prothrombin


Correct Option: D
Explanation:

Vitamin K helps in the synthesis of prothrombin in the liver.

So, the correct answer is 'The formation of prothrombin'

In the clotting mechanism pathway, thrombin activates the factors

  1. XI, VIII, V

  2. XI, IX, X

  3. VIII, X, V

  4. only XIII


Correct Option: D
Explanation:

In the blood coagulation pathway thrombin activates Factor XIII to XIIIa that helps in binding of fibrin monomers to form the stable fibrin filament.

So, the correct answer is 'only XIII'

Which proteolytic enzyme induces lysis of fibrin during fibrinolysis?

  1. Fibrin

  2. Thrombin

  3. Plasmin

  4. Platelet factor VIII


Correct Option: C
Explanation:

Plasmin is the proteolytic enzyme that induces lysis of fibrin to fibrin degradation products during fibrinolysis (enzymatic breakdown of fibrin during blood clots)

So, the correct answer is 'Plasmin'

Mark the pair of substances among the following which is essential for coagulation of blood.

  1. Heparin and calcium ions

  2. Calcium ions and platelet factors

  3. Oxalates and citrates

  4. Platelet factors and heparin


Correct Option: B
Explanation:

Calcium ions and platelets are essential factors for clotting of blood. During some injury, the platelets release inactivated platelet factors that are involved in the activation of other factors involved in the formation of clots in the blood. Calcium ions in the blood catalyze the activation of many factors involved in clot formation like factor VIII, factor IX, factor V and factor XIII.

Thus, the correct answer is 'Calcium ions and platelet factors.'

Which of these are necessary for initiation of blood clotting process?

  1. Prothrombinase and thrombin

  2. Tissue factor hageman factor and $Ca^{2+}$

  3. Prothrobinase and $K^{2+}$

  4. Prothrobinase , tissue factor and $Ca^{2+}$


Correct Option: B
Explanation:

There are two processes that can initiate clotting

  1. A very rapid process the so-called extrinsic pathway 
  2. A slower but larger intrinsic pathway
In the extrinsic pathway- Damaged cells display a surface protein called tissue factor
In the intrinsic pathway- Factor 12 (XII) (also called the Hageman factor) circulates in the blood.
Calcium ions are required for the promotion or acceleration of blood clotting pathways
So correct option is B, Tissue factor hageman factor and $Ca^{2+}$.

Removal of calcium from freshly collected blood will

  1. Prevent clotting

  2. Result in clotting

  3. Prevent oxidation of haemoglobin

  4. Cause haemolysis


Correct Option: A
Explanation:

Clotting requires calcium ions ($Ca2^+$), which is why blood banks use a chelating agent to bind the calcium in donated blood, so the blood will not clot in the bag.

Mineral essential for the coagulation of blood is

  1. Potassium

  2. Magnesium

  3. Calcium

  4. Sodium


Correct Option: C
Explanation:

All the reactions which happen during the clotting process require calcium ions for their occurrence. Calcium works together with vitamin K and a protein called as fibrinogen in the clotting cascade. Without adequate levels of calcium and vitamin K, blood will take longer to clot and if both nutrients are missing it could be fatal. Therefore, the correct answer is option C.

The vitamin essential for the synthesis of prothrombin is 

  1. Vitamin K

  2. Vitamin E

  3. Vitamin A

  4. Vitamin D


Correct Option: A
Explanation:

Prothrombin is a precursor of the clotting factor thrombin. Prothrombin forms thrombin in the cascade clotting reaction. It is produced in the liver cells in the presence of vitamin K.

The blood does not clot inside the body because of

  1. Oxygenation of blood

  2. Movement of blood

  3. Heparin in blood

  4. Absence of fibrinogen in blood


Correct Option: C
Explanation:
A blood clot is actually the thickened mass formed by the blood platelets and stops the blood profusely out of any cuts or wounds. However, in general and in healthy condition blood does not form clots inside the body due to the presence of heparin an anticoagulant that is secreted by the basophils and mast  cells of the blood. Since, this is released into the blood vessels it prevents the formation of clots in them
So, the correct answer is 'Heparin in blood'

Which option is correct for the formation of intrinsic factor-X activator complex for blood coagulation?

  1. Activated Christmas factor + AHG + phospholipid + $Ca^{+2}$

  2. Inactivated Christmas factor + AHG + phospholipid +$Ca^{+2}$

  3. Convertin + AHG + $Ca^{+2}$+ FSF

  4. Phospholipid - protein complex + Proconvertin


Correct Option: A
Explanation:

The Hageman factor XII is activated when it comes in contact with a damaged blood vessel. The activated Hageman factor activates the factor XI. The activated factor XI acts on Chrishmas factor IX to form activated IXa. Factor IXa combines with AHG VIII phospholipid and calcium ions to form a complex called intrinsic factor X activator complex. Thus the correct answer is option A.

Match the following Columns I, II with III.

Column I(Common name) Column II(Roman numerical designation) Column III(Activation product)
A. Prothrombin 1. I (i) Convertin
B. Proconvertin 2. V (ii) Fibrin
C. Fibrinogen 3. II (iii) Thrombin
D. Proaccelerin 4. VII (iv) Accelerin
  1. A- 3- (iii), B- 4- (i), C- 1- (ii), D- 2- (iv)

  2. D- 4- (ii), B- 3- (iii) C- 2- (iv), A- 1- (i)

  3. C- 3- (iii), A- 4- (ii), B- 1- (iv), D- 2- (i)

  4. A- 3- (iii),C-  4- (i), D- 2- (ii), B- 1- (iv)


Correct Option: A
Explanation:

The following enzymes are involved in the mechanism of blood clotting in human.

Column I(Common name) Column II(Roman numerical designation) Column III(Activation product)
A. Prothrombin $3.$ II (iii) Thrombin
B. Proconvertin $4.$ VII (ii) Convertin
C. Fibrinogen $1.$ I (ii) Fibrin
D. Proaccelerin $2.$ V (iv) Accelerin

Fill in the blanks with suitable words given below:
The liquid part of coagulated blood is known as _________

  1. Serum

  2. Fibrinogen

  3. Hemoglobin

  4. Pulmonary

  5. Sphygmomanometer

  6. Ventricles


Correct Option: A
Explanation:

The liquid part of coagulated blood is known as serum. It is the liquid portion of blood clot . It includes all proteins not used in clotting of blood and all the electrolytes, hormones, antibodies, antigens etc..

Hence, the correct answer is 'Serum' .

Choose the correct answer from the alternatives given.
Which of the following ions is involved in blood clotting?

  1. $K^+$

  2. $Na^+$

  3. $Fe^{+++}$

  4. $Ca^{++}$


Correct Option: D
Explanation:

Blood coagulation is a complex biochemical process involving platelets and many proteins (enzymes).  Calcium is involved at several steps in the blood clotting, including the activation of the platelets, activation of clotting factors and enzymes which are present in the blood in inactive form. The $Ca^{++}$ ions bind with prothrombin and covert it into active form thrombin. The thrombin in turn converts fibrinogen into fibrin (a thread like protein) which traps red blood cells and helps in the formation of clot.

So, the correct option is '$Ca^{++}$'.

Sodium oxalate prevents blood clotting due to

  1. Blocking of fibrinogen transformation

  2. Covering RBC

  3. Inhibiting activity of clotting factor of plasma

  4. Combining with calcium ions of blood


Correct Option: D
Explanation:

Sodium oxalate, like citrates, can be used to remove calcium ions (Ca${^2}$${^+}$) from blood plasma. It thus prevents blood from clotting. In the presence of calcium ions and other clotting factors, factor X activates an enzyme called prothrombin activator. This enzyme then converts the plasma protein prothrombin into thrombin. Thrombin is an enzyme that, in turn, converts fibrinogen to fibrin.

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