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Question

Cryoprecipitate cannot be used for treatment of which one of the following conditions?

The correct answer is
Hemophilia–B

Cryoprecipitate Use in Bleeding Disorders

Cryoprecipitate is a blood product derived from plasma. It is concentrated with specific proteins, primarily including von Willebrand factor (vWF), fibrinogen, Factor VIII, and Factor XIII.

Condition Suitability Analysis

The suitability of cryoprecipitate for treating various conditions depends on its concentrated components:

  • Von Willebrand disease (vWD): Cryoprecipitate contains vWF, making it a viable treatment option, especially for managing bleeding associated with vWD.
  • Hypofibrinogenemia: This condition is characterized by low fibrinogen levels. Since cryoprecipitate is rich in fibrinogen, it is used effectively to treat hypofibrinogenemia.
  • Hemophilia A: This disorder is caused by a deficiency in Factor VIII. Cryoprecipitate is a significant source of Factor VIII and is therefore used in the management of Hemophilia A.
  • Hemophilia B: This condition results from a deficiency in Factor IX. Cryoprecipitate does *not* contain significant amounts of Factor IX. Consequently, it is not an appropriate treatment for Hemophilia B.

Based on the composition of cryoprecipitate, it is not indicated for the treatment of Hemophilia B.

Conclusion: Hemophilia B cannot be treated with cryoprecipitate.
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Important Questions from Coagulation Disorders

  1. Which one of the following investigations is NOT appropriate in a case of recurrent thrombosis?
  2. All of the following are causes of reactive thrombocytosis, EXCEPT:
  3. A young primigravida with 11 weeks pregnancy presents with sudden onset pain and swelling of left lower limb. Homan's sign is positive. Duplex ultrasonogram shows non- compressibility of veins in the affected region, with absent flow. The drug of choice for treatment is:

  4. Which of the following conditions are associated with prolonged prothrombin time?
    1. Factor VIII deficiency
    2. Factor VII deficiency
    3. Heparin anticoagulation
    4. Warfarin anticoagulation
    Select the correct answer using the code given below:
  5. A female carrier for hemophilia A gene gets married to a genetically normal male. What are the chances of her delivering a male offspring with hemophilia?

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