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Pathology · Hemodynamic disorders: disseminated intravascular coagulation
Sample itemWhat is the central pathophysiologic feature of disseminated intravascular coagulation?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Widespread activation of coagulation with consumption of platelets and factors
DIC involves systemic thrombin generation that forms microthrombi and consumes platelets and coagulation factors, causing both thrombosis and bleeding. Sepsis, trauma, obstetric catastrophe, and malignancy are common triggers.
Option by option
A. Inherited deficiency of factor VIII only
Factor VIII deficiency causes hemophilia A.
B. Isolated immune destruction of platelets
Immune platelet destruction describes ITP.
C. Increased erythropoietin production
Erythropoietin regulates red-cell production.
D. Widespread activation of coagulation with consumption of platelets and factors (correct)
Correct. Consumptive coagulopathy explains the mixed thrombotic and bleeding state.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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