Two children in the same family have recurrent, chronic bruising in multiple sites, repeated long-lasting epistaxis, and minor bleeding after dental work. Which type of disorder is most likely?

a. Localized, acquired, anatomic
b. Localized, congenital, anatomic
c. Generalized, congenital, systemic
d. Generalized, acquired, systemic

ANS: C
Because the two affected children are in the same family, this is most likely congenital. Recurrent, chronic bruising in multiple sites, along with long-lasting epistaxis and minor bleeding after dental work, make this generalized and systemic rather than localized and anatomic.