Good one guys, a 6 year old boy.. - drkhmer

[ArchivalUser]

10- a 6year old caucasian boy has acute sinisitis with intensive nasal bleeding. past medical history is recurrent pulmonary infections and several hopitalizations for parenteral antibiotic therapy. the sweat chloride test is positive. the blood test reveal a PT of 20 seconds. which of the following coagulation factors is most likely to be deficiency in this patient?

a. Fibrinogen
b. Hegeman factor
c. Factor VIII
d. Factor VII
e. Factor V

[ArchivalUser]

? e

[ArchivalUser]

d. Factor VII

[ArchivalUser]

ddddddddd

[ArchivalUser]

d. factor VII vit K def

[ArchivalUser]

yes, DDD is the correct ans.
_ patient has cystic fibrosis --> malabsorption --> vit.K defeciency(as vit.K is an important cofactor of factors II, VII, IX, and X) --> deficiency of these factors.
_ you guys are so amazing.

[ArchivalUser]

Thank you drkhmer.