HY USMLE Q #1538 – Hematology

A 15-year-old boy is brought to the physician by his parents for a follow-up examination. His laboratory studies are shown:

Bleeding time                                                        8 minutes
Prothrombin time                                              14 seconds
Partial thromboplastin time                        48 seconds
Platelet count                                                       220,000/μL

Which of the following is the most likely explanation for this patient’s findings?

A) Antibodies against glycoproteins IIb/IIIa
B) Defective glycoprotein IIb/IIIa
C) Deficiency of clotting factor
D) Reduced bridging of glycoprotein Ib to endothelium
E) Reduced cofactor for gamma-glutamyl carboxylase