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    Mental Health Kentucky University Proctored Exam 2

    A 15-year-old male patient is suspected to have Von Willebrand disease (VWD). Which of the following statements about the characteristics of VWD is incorrect?

    Explanation & Rationale

    Choice A reason: Von Willebrand disease is indeed a hereditary bleeding disorder caused by a deficiency or dysfunction of von Willebrand factor (vWF), which plays a crucial role in platelet adhesion and stabilization of factor VIII. This statement is accurate. Choice B reason: This statement is incorrect. Von Willebrand factor does not function independently of factor VIII. In fact, vWF serves as a carrier protein for factor VIII, protecting it from degradation in circulation. A deficiency in vWF can lead to secondary reductions in factor VIII levels, contributing to bleeding symptoms. Choice C reason: vWF mediates platelet adhesion to the subendothelial matrix by binding to glycoprotein Ib-IX on the platelet surface. This interaction is essential for the initial steps of hemostasis. The statement is correct. Choice D reason: VWD typically causes mild to moderate bleeding symptoms, such as easy bruising, nosebleeds, and prolonged bleeding after minor injuries. Severe bleeding is less common, especially in type 1 VWD. This statement is accurate.

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