General Surgery Qualifying Examination (GSQE)

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Despite surgical hemostasis and weaning from cardiopulmonary bypass, a patient continues to hemorrhage. After bypass, a thromboelastograph trace demonstrates a prolonged r-time (reaction time). Which of the following fits this result the best?

Coagulation factor deficiency Fibrinolysis Fibrinogen deficiency Platelet dysfunction or deficiency

Correct Answer:

Coagulation factor deficiency

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