COMSAE Comprehensive Osteopathic Medical Self-Assessment Exam

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A patient is hospitalized and receives unfractionated heparin for a deep vein thrombosis. Five days later, their platelet count drops from 250,000/µL to 90,000/µL, and a new pulmonary embolism is suspected. What is the most likely underlying pathophysiology of this condition?
Correct Answer:
Autoantibody formation against the heparin-platelet factor 4 (PF4) complex

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