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Medical Emergencies · single question

Before an extraction in a patient with hemophilia A, what is the most important step?

  1. Obtain a medical consultation to plan factor VIII replacement and hemostatic management
  2. Proceed immediately with no precautions
  3. Give aspirin preoperatively
  4. Schedule the patient for the late afternoon
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Correct answer: A. Obtain a medical consultation to plan factor VIII replacement and hemostatic management

Hemophilia A (factor VIII deficiency) requires coordination with the patient's physician/hematologist for factor replacement and adjunctive hemostasis before surgery to prevent serious bleeding.Other options: Operating without precautions or giving aspirin (an antiplatelet) is dangerous; appointment timing is irrelevant to the bleeding risk.Key exam takeaway: Hemophilia A surgery: medical consultation and factor VIII replacement first; avoid antiplatelets.

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