HY USMLE Q #1143 – Hematology / Genetics

A 14-year-old boy is evaluated by the physician. His vitals are normal. Laboratory studies are shown:

Hemoglobin                                                                         14 g/dL
Leukocytes                                                                            7,000/μL
Platelets                                                                                 250,000/μL
Bleeding time                                                                      8 minutes
Prothrombin time                                                            12 seconds
Partial thromboplastin time                                       50 seconds

Which of the following is the most likely explanation for these findings?

  Factor VIII deficiency; Autosomal dominant (AD)
  Factor VIII deficiency; Not inherited
  Factor VIII deficiency; X-linked recessive (XR)
  Impaired platelet aggregation; AD
  Impaired platelet aggregation; Not inherited
  Impaired platelet aggregation; XR
  Impairment of cleavage of vWF multimers; AD
  Impairment of cleavage of vWF multimers; Not inherited
  Impairment of cleavage of vWF multimers; XR
  Paucity of multimeric glycoprotein; AD
  Paucity of multimeric glycoprotein; Not inherited
  Paucity of multimeric glycoprotein; XR
  Vitamin deficiency; AD
  Vitamin deficiency; Not inherited
  Vitamin deficiency; XR

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