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Question 1

A 42 year old woman is referred to you by the ENT consultant who is planning to perform a rhinoplasty.  She has a long history of menorrhagia and epistaxis.  She has had no previous operations and no family history of bleeding.

Initial blood results

Hb 12.2 MCV 80.4 WC 4.4 Plts 285

PT 12.1 s
APTT 68.4 s
Fibrinogen 3.4 g/L

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