KROK 1 2017 – Question 14 · KROK (Medicine) · Pathophysiology

A 3-year-old boy with pronounced hemorrhagic syndrome has no antihemophilic globulin A (factor VIII) in the blood plasma. Hemostasis has been impaired at the following stage:

  1. A. Conversion of prothrombin to thrombin
  2. B. External mechanism of prothrombinase activation
  3. C. Internal mechanism of prothrombinase activation
  4. D. Conversion of fibrinogen to fibrin
  5. E. Blood clot retraction
Hint

Locate factor VIII in the clotting cascade and decide which early step, upstream of thrombin formation, cannot proceed without it.

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