USMLE-Rx Step 2 CK Qmax Challenge #21271

Check out today’s Step 2 CK Qmax Question Challenge.

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USMLE-Rx Step 2 CK Qmax Challenge #21271A 10-month-old baby boy who is bleeding profusely from the mouth is brought to the emergency department. The mother states that the baby cut himself with his newly erupted teeth after chewing on a teether ring. She also states that he has been bruising easily as well, but thought nothing of it. Upon further questioning, a family history of “bleeding” is present in the maternal grandfather. On examination, there is active bleeding in the oral cavity. Vital signs are stable, the baby is active but distressed.

Which of the above laboratory findings are characteristic of hemophilia B? PT refers to prothrombin time, and aPTT refers to activated partial thromboplastin time.



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8 thoughts on “USMLE-Rx Step 2 CK Qmax Challenge #21271”

  1. B. Hemophilia B is an X-linked recessive coagulation disorder due to factor IX deficiency. Bleeding time is a job of primary hemostasis, thus it only serves to look after quantitative or qualitative disorders of platelets, not coagulation factors. Also PT -> Extrinsic Pathway, and PTT -> Intrinsic Pathway (factors VIII and IX included). Normal Bleeding Time: 2-7min. Normal Platelets: 150k-450k/uL. Normal PT: 11-15s. Normal aPTT 20-35s.

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