A 34-year-old woman has just given birth to a healthy baby boy. ...

[JMatthes]

A 34-year-old woman has just given birth to a healthy baby boy. After the delivery of the baby, the physician proceeds to deliver the placenta. After it has been extracted from the mother's uterus,
 
  the resident examines it and notes that it appears incomplete. They try to deliver the remainder but are unsuccessful. A few moments later, the mother loses consciousness, and is bleeding profusely from her uterus. Blood is collected, and the results follow.
 
  PT: 17 sec (RR: 11.3-12.8 sec)
  INR: 3.02
  APTT: 67 sec (RR: 23-32 sec)
  D-dimer: 540 ng/mL (RR: <400 ng>  Fibrinogen: 82 mg/dL (RR: 200-400 mg/dL)
  Factor V assay: 12
 
  Based on this information, from what is the patient most likely suffering?
  a. Hemophilia A
  b. von Willebrand's disease
  c. Placenta previa
  d. DIC

Question 2

Which of the following clinical symptoms correlates with a severe form of hemophilia A or B?
 
  a. Bleeding at circumcision with a factor level of 1-5 U/dL
  b. Excessive bleeding after surgery or trauma with a factor level of 6-30 U/dL
  c. Frequent spontaneous hemarthroses
  d. Infrequent spontaneous joint and tissue bleeds

[kilada]

Answer to Question 1

Correct Answer: D

Answer to Question 2

Correct Answer: C

[JMatthes]

Thanks for the timely response, appreciate it

[ebonylittles]

Excellent