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Blood hemostasis is the interplay of several intrinsic and extrinsic factors. Deficiency of some of the blood clotting factors and their clinical mani
Question

Blood hemostasis is the interplay of several intrinsic and extrinsic factors. Deficiency of some of the blood clotting factors and their clinical manifestations are listed below.

Factors
Manifestations
A. V
i. Hageman trait
B. VII
ii. Hypoconvertemia
C. IX
iii. Hemophilia B
D. XII
iv. Parahemophilia

Which one of the following options represents all correct matches?

A.

A-I, B-II, C-III, D-IV

B.

A-IV, B-II, C-III, D-I

C.

A-II, B-III, C-IV, D-

D.

A-III, B-I, C-II, D-IV

Correct option is B

Correct Answer: (2) A-(iv), B-(ii), C-(iii), D-(i)

Explanation – Matching Clotting Factors to Clinical Manifestations:

Let's match the clotting factors (also called coagulation factors) to the clinical conditions caused by their deficiencies:

A. Factor V → (iv) Parahemophilia

  • Parahemophilia is caused by Factor V deficiency, a rare autosomal recessive disorder.

  • It leads to mild to moderate bleeding tendency.

A → iv

B. Factor VII → (ii) Hypoconvertinemia

  • Deficiency of Factor VII causes Hypoproconvertinemia, also known as Hypoconvertinemia.

  • It’s a rare bleeding disorder affecting the extrinsic pathway.

B → ii

C. Factor IX → (iii) Hemophilia B

  • Hemophilia B (also called Christmas disease) is caused by Factor IX deficiency.

  • It’s an X-linked recessive disorder, mostly affecting males.

C → iii

D. Factor XII → (i) Hageman trait

  • Factor XII deficiency is also known as the Hageman trait.

  • Interestingly, although Factor XII is part of the intrinsic pathway, its deficiency does not typically cause bleeding, but is detected due to prolonged aPTT in lab tests.

D → i

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