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von Willebrand disease — RCPSC IM MCQ

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ModerateHematologyvon Willebrand diseaseRCPSC IM

A 30-year-old woman has heavy menstrual bleeding, lifelong easy bruising, and excessive bleeding after dental extraction. Platelet count, PT, and aPTT are normal. Her mother had similar bleeding. What is the most appropriate investigation?

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Correct answer: Cvon Willebrand factor antigen and activity testing

Mucocutaneous bleeding with normal platelet count and coagulation screening suggests von Willebrand disease; antigen and activity testing are appropriate.

Reference: Canadian hematology practice guidance