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Physiology Cardiovascular system 0cd1c514

The blood within the vessels does not clot normally because

A
Vitamin K antagonists are present in plasma
B
Thrombin has a positive feedback on plasminogen
C
Sodium citrate in plasma chelates calcium ions
D
Vascular endothelium is smooth and coated with glycocalyx
High-Yield Explanation
The endothelium of the blood vessels also plays an active role in preventing the extension of clots. All endothelial cells except those in the cerebral microcirculation produce thrombomodulin, a thrombin-binding protein, on their surfaces. InCirculating blood, thrombin is a procoagulant that activates factors V and VIII, but when it binds to thrombomodulin, it becomes an anticoagulant in that the thrombomodulin-thrombin complex activates protein C. Activated protein C (APC), along with its cofactor protein S, inactivates factors V and VIII and inactivates an inhibitor of tissue plasminogen activator, increasing the formation of plasmin. Ref: Ganong's Review of Medical Physiology Twenty-Third Edition Page No: 533

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