NURS 6501: Final Exam Question 52 / NURS-6501N Advanced Pathophysiology
NURS 6501: Final Exam: Please contact Assignment Samurai for help with NURS 6501: Final Exam or any other assignment. Email: assignmentsamurai@gmail.com   Which of the following pairs correctly identifies two major causes of acute hypercoagulability in an otherwise normal child? Group of answer choices
  • Chronic liver disease and hereditary hemorrhagic telangiectasia
  • Hemophilia A and Vitamin K deficiency
  • Disseminated Intravascular Coagulation (DIC) and Immune Thrombocytopenic Purpura (ITP)
  • von Willebrand Disease and scurvy
  The correct answer is: Disseminated Intravascular Coagulation (DIC) and Immune Thrombocytopenic Purpura (ITP)   Explanation: Both DIC and ITP are conditions that can cause acute hypercoagulability in a child, though they might seem paradoxical because they involve both clotting and bleeding tendencies.   DIC is a condition that involves widespread clotting in small blood vessels throughout the body, which can deplete clotting factors and lead to a paradoxical risk of both bleeding and thrombosis (hypercoagulability).   ITP is typically a condition that causes low platelet count (thrombocytopenia), but in some cases, it can lead to increased clotting or thrombosis due to abnormal immune responses and platelet activation.   Here’s why the other pairs are incorrect:   Chronic liver disease and hereditary hemorrhagic telangiectasia: Chronic liver disease may lead to clotting abnormalities, but it typically leads to a bleeding tendency rather than hypercoagulability. Hereditary hemorrhagic telangiectasia is more associated with vascular malformations, not acute hypercoagulability.   Hemophilia A and Vitamin K deficiency: These conditions are more associated with bleeding disorders rather than hypercoagulability. Hemophilia A is a deficiency of clotting factor VIII, and Vitamin K deficiency leads to defective clotting factor production.   von Willebrand Disease and scurvy: von Willebrand disease is a bleeding disorder due to defective von Willebrand factor. Scurvy, caused by Vitamin C deficiency, also leads to bleeding tendencies due to impaired collagen synthesis, not hypercoagulability.   Therefore, the pair that correctly identifies acute hypercoagulability is DIC and ITP.