Check Your Understanding – Type 1 VWD
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What is the main feature of Type 1 von Willebrand disease?
a
Von Willebrand factor is absent.
b
Von Willebrand factor does not work at all.
c
The body has lower levels of von Willebrand factor, but it usually works normally.
Type 1 von Willebrand disease is a quantitative problem. The body makes less von Willebrand factor than usual, but the protein that is present generally functions normally.
d
Platelets cannot be made by the bone marrow.
Which statement best describes everyday life for most people with Type 1 von Willebrand disease?
a
Daily treatment is usually required.
b
Everyday activities are usually safe, and treatment is often needed only in certain situations.
Most people with Type 1 von Willebrand disease live normal, active lives. Treatment is often needed only before procedures, during significant bleeding, or around childbirth.
c
Exercise should usually be avoided.
d
Frequent blood transfusions are expected.
Why might your doctor repeat von Willebrand factor testing?
a
Von Willebrand factor levels can change over time.
Von Willebrand factor levels can fluctuate with stress, illness, hormones, exercise, and age. Doctors look at patterns over time, not a single test result.
b
The first test is usually inaccurate.
c
The diagnosis requires exactly three blood tests.
d
Treatment always changes the results immediately.
Which treatment is commonly used for many people with Type 1 von Willebrand disease when treatment is needed?
a
Daily chemotherapy.
b
Desmopressin (DDAVP), which temporarily raises von Willebrand factor levels.
Many people with Type 1 von Willebrand disease respond well to desmopressin (DDAVP), which temporarily increases the body’s release of von Willebrand factor. It is often used before procedures or for certain bleeding episodes.
c
Lifelong blood transfusions.
d
Removal of the spleen.
What does it usually mean if your doctor recommends monitoring rather than treatment?
a
The condition is being ignored.
b
Treatment is not available.
c
The diagnosis is uncertain.
d
Your bleeding pattern is mild and monitoring is the safest approach right now.
Monitoring is an active plan, not inaction. When symptoms are mild and bleeding is well controlled, careful follow-up is often the best approach.
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