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Question 308

Physiology → Haematology

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Classification

Speciality
Obstetrics and Gynaecology
Group
Basic
Title
Physiology
Topic
Haematology
Subtopic 1
Blood coagulation
Subtopic 2
Platelets
Subtopic 3
Adhesion — Collagen exposure
Question Type
SBA

Question

SSBA
Question Header
Following vascular injury, platelets are exposed to collagen. Which immediate morphological response facilitates platelet adhesion?
Question Stem
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Options

A Formation of pseudopodia
B Development of a multilobed nucleus
C Loss of dense granules
D Conversion into multinucleated giant cells
E Formation of a biconcave disc

Explanation

exposure of platelets to collagen causes them to develop pseudopodia, facilitating adhesion. Platelets thereby participate in haemostasis and formation of the temporary platelet plug.

Option Validity

B) Platelets are non-nucleated fragments of megakaryocytes and therefore cannot develop a multilobed nucleus. Multilobed nuclei are described in mature neutrophils.

C) platelet granules as stores of biologically active substances but does not identify loss of dense granules as the morphological mechanism of collagen-induced adhesion. Pseudopodia are specifically described.

D) Multinucleated giant cells may arise from macrophage lineage in chronic infections such as tuberculosis or leprosy. This is unrelated to platelet adhesion.

E) A biconcave disc is the characteristic morphology of an erythrocyte. Platelets exposed to collagen instead form pseudopodia.

Further Reading

Saxena. Textbook for MRCOG-1. Physiology - Haematology - Platelets, p.70.

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Updated
2026-10-06 01:57:35
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