The sports that should be avoided in hemophilia is:

Appeared in: Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)

Explanation

Wrestling and boxing are high-contact, collision sports that are strictly contraindicated in hemophilia.
The high likelihood of direct impact, falls, and trauma can cause severe and potentially life-threatening bleeds in individuals with impaired blood clotting.
These activities significantly increase the risk of hemarthrosis (joint bleeding) and muscle hematomas, which are major sources of morbidity and long-term joint damage in hemophilia.

Option A: Swimming is a non-contact sport that is highly recommended for individuals with hemophilia.
Option B: Golf is a low-impact, non-contact sport and is considered a safe activity for individuals with hemophilia.
Option C: Badminton is a low-risk sport. While there is a minor risk of falls, it is not a collision sport and is generally considered safe.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Activity restrictions and recommendations for patients with hemophilia as background academic context rather than a clinical decision trigger.
Patient education is a critical nursing role. Nurses must teach patients with hemophilia and their families which activities are safe and which to avoid to prevent bleeding episodes and long-term joint damage.
Encouraging safe physical activity, like swimming, is crucial for maintaining a healthy weight and strong muscles, which helps protect joints and can reduce the frequency of spontaneous bleeds.
What if? If a patient with mild hemophilia wants to play a moderate-risk sport like basketball, the nurse should advise consultation with a hematologist. Prophylactic infusion of clotting factor before play and the use of protective gear might be considered to make participation safer.

How to Approach the Question

First, identify the key condition in the question: hemophilia.
Recall the core pathophysiology of hemophilia: it is a bleeding disorder characterized by deficient clotting factors, leading to a high risk of prolonged and severe bleeding after injury.
The question asks which sport should be avoided. This means you are looking for the activity with the highest risk of injury and bleeding.
Evaluate each option based on its potential for physical contact, collision, and trauma.
Wrestling and boxing are defined by intentional, forceful physical contact and are therefore the most dangerous options.
Swimming, golf, and badminton are non-contact or low-impact sports, making them much safer alternatives.

Concept Tested & Keywords

Concept Tested: Activity restrictions and recommendations for patients with hemophilia.
Stem keywords: hemophilia, sports, avoided
Lead-in keywords: avoided
Negative lead-in flag: false

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E6 Nelson Textbook of Pediatrics(2024) — Volume 2 p. 2105-2107

Practise the full Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)

Attempt every question from this paper in a timed mock, then review the full solution for each one.