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NBME 17 Answers

nbme17/Block 3/Question#2 (reveal difficulty score)
A 3-year-old boy and his 5-year-old brother ...
Factor VIII (antihemophilic factor) ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—icedcoffeeislyfe(56)
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increased PTT + hemarthroses + easy bruising = Hempophillia A which is a deficiency of Factor 8 and is XL recessive (ie why the mom's brothers have it)

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submitted by โˆ—jdc_md(18)
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Vwf deficiency can also present with bleeding and increased PTT but its autosomal dominant so the male wouldnt be only affected. Vwf deficiency is the most common inherited bleeding disorder

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submitted by โˆ—solidshake(25)
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The answer is factor VII because it has the shortest half-life of all the Vit K dependent coagulation factors. Warfarin inhibits epoxide reductase -> no more activated Vit K -> no more activation of coagulation factors 2,7,9,10,C,S -> factor VII degrades first =(FA 2018 p 402)

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solidshake  Answered the wrong question here. My bad. +2



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