Verified Solution Biology Body Fluids and Circulation

A patient with severe liver disease often exhibits a bleeding tendency. Which of the following is the most direct reason for this clinical manifestation?

4 views 1 helpful Updated Jul 20, 2026
Solution ✔ Verified
  • ADecreased production of albumin, leading to reduced osmotic pressure.
  • BImpaired synthesis of clotting factors.
  • CIncreased breakdown of red blood cells by the liver.
  • DReduced removal of activated clotting factors by hepatic macrophages.
Explanation

The liver is the primary site for the synthesis of most blood clotting factors (e.g., fibrinogen, prothrombin, factors V, VII, IX, X). Severe liver disease impairs this synthesis, leading to a deficiency of clotting factors and a bleeding tendency.

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