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General Medicine General a3752f1e

During a laboratory exercise on coagulation testing, a 23-year-old medical student is found to have a prolonged bleeding time. She has had a long history of "easy bleeding," with frequent bleeding of the gums, epistaxis, cutaneous bleeding, and menorrhagia. Fuher testing revealed a deficiency of Von Willebrand factor. Which of the following thrombogenic processes involving platelets is most directly impaired?

A
Adhesion
B
Conformational change with activation of phospholipid surface
C
Formation of fibrinogen bridges
D
Release reaction

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