HY USMLE Q #953 – Hematology

A 7-year-old boy is brought to the physician following injuring his knee while playing soccer. Arthrocentesis is positive for blood. Past medical history is unremarkable. He has a maternal uncle who died in childhood from mild head trauma. Impairment of which of the following is most likely responsible for this patient’s presentation?

  Antibodies against clotting factor
  Clotting factor synthesis
  Gamma-carboxylation of clotting factors
  Platelet adhesion
 Platelet aggregation