USMLE Step 2 Quiz
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HEMATOLOGY-AND-ONCOLOGY
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A 29-year-old woman develops heavy vaginal bleeding 1 hour after emergent cesarean section for placental abruption. She received 2 units of packed RBCs intra-operatively. BP is 92/54 mm Hg, HR 118/min. Laboratory studies: hemoglobin 8.1 g/dL, platelets 60,000/µL, PT 32 sec (normal 11–15), aPTT 68 sec (normal 25–40), fibrinogen 85 mg/dL (normal 200–400), and D-dimer markedly elevated. After beginning fluid resuscitation, which blood product is most appropriate to give NEXT?
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