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Physiology · Blood physiology
Sample itemWhat initiates the intrinsic coagulation pathway in laboratory testing?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Contact activation
The intrinsic pathway is initiated by contact activation involving factor XII on negatively charged surfaces, whereas tissue factor starts the extrinsic pathway.
Option by option
A. Fibrinolysis
Fibrinolysis dissolves clots rather than initiating coagulation.
B. Tissue factor
Tissue factor initiates the extrinsic coagulation pathway.
C. Contact activation (correct)
Correct: contact activation starts the intrinsic pathway.
D. Platelet plug only
Platelet plug formation is primary hemostasis, distinct from pathway initiation.
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.