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Physiology · Blood physiology
Sample itemWhich event initiates primary haemostasis after a vessel injury?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Platelet adhesion to exposed subendothelial collagen via von Willebrand factor
Primary haemostasis begins when platelets adhere to exposed collagen through von Willebrand factor, then activate and aggregate to form a platelet plug.
Option by option
A. Production of erythrocytes by bone marrow
Erythropoiesis does not initiate haemostasis.
B. Platelet adhesion to exposed subendothelial collagen via von Willebrand factor (correct)
Correct: vWF-mediated adhesion starts platelet plug formation.
C. Conversion of fibrinogen to fibrin by plasmin
Fibrin formation belongs to secondary haemostasis.
D. Dissolution of the clot by tissue plasminogen activator
Plasmin-mediated clot dissolution is fibrinolysis.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.