Gynaecological endocrinology: coagulopathy: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Gynaecological endocrinology: coagulopathy

Sample item

A teenager has heavy menses since menarche, easy bruising and prolonged bleeding after dental extraction. Which is the commonest underlying bleeding disorder?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. von Willebrand disease

von Willebrand disease is the commonest inherited bleeding disorder and a frequent cause of heavy menstrual bleeding from menarche. Screening includes vWF antigen and activity, factor VIII level, and ristocetin cofactor. Desmopressin and tranexamic acid are used.

Option by option

  • A. Vitamin K deficiency

    Vitamin K deficiency is acquired and uncommon in healthy adolescents.

  • B. von Willebrand disease (correct)

    Correct. vWD is the commonest in this context.

  • C. Factor XIII deficiency

    Factor XIII deficiency is rare.

  • D. Haemophilia A

    Haemophilia A is X-linked and rarely affects women.

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.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is B, von Willebrand disease. von Willebrand disease is the commonest inherited bleeding disorder and a frequent cause of heavy menstrual bleeding from menarche.

Why is "Vitamin K deficiency" not the answer?

Vitamin K deficiency is acquired and uncommon in healthy adolescents.

Why is "Factor XIII deficiency" not the answer?

Factor XIII deficiency is rare.

Why is "Haemophilia A" not the answer?

Haemophilia A is X-linked and rarely affects women.

What concept does this question test?

It tests Gynaecological endocrinology: coagulopathy in OBG. Screening includes vWF antigen and activity, factor VIII level, and ristocetin cofactor. Desmopressin and tranexamic acid are used.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Gynaecological endocrinology: coagulopathy?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.