KROK 1 2019 – Question 178 · KROK (Medicine) · Pathophysiology

A 34-year-old man visits his dentist complaining of toothache. After a dental procedure that involved extraction of several teeth, he develops severe bleeding lasting more than 15 minutes. He has a history of chronic hepatitis C. Which of the following is the most likely cause of prolonged bleeding in this patient?

  1. A. Hypoalbuminemia
  2. B. Thrombocytopenia
  3. C. Hypocalcemia
  4. D. Hypofibrinogenemia
  5. E. -
Hint

Consider the liver's role in making proteins needed for clotting and which plasma protein shortage would delay clot formation after a tooth extraction.

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