Drugs that affect clotting Flashcards

1
Q

Which of the following is the drug of choice for anticoagulation in the patient with heparin-induced thrombocytopenia?

A

Argatroban

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2
Q

Which of the following statements describes the primary difference between direct factor Xa inhibitors and indirect factor Xa inhibitors?

A

Direct factor Xa inhibitors act directly on thrombin; indirect factor Xa inhibitors use antithrombin III as a mediator.

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3
Q

Which phase of the clotting process is affected by activated Factor X (Factor Xa) inhibitors?

A

Secondary hemostasis

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4
Q

Primary hemostasis is characterized by:

A

Platelet aggregation and adhesion.

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5
Q

Which of the following laboratory tests is used to monitor the effects of low molecular weight heparin (LMWH)?

A

Anti-Xa assay

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6
Q

The primary adverse effects of heparin and warfarin are related to:

A

Bleeding.

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7
Q

Secondary hemostasis is characterized by:

A

Formation of a fibrin clot.

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8
Q

Which of the following is indicated for cerebrovascular accident (CVA) and embolic risk reduction in nonvalvular atrial fibrillation?

A

Dabigatran

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9
Q

Peripheral neuropathy and priapism is possible adverse effect of:

A

Heparin.

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10
Q

Antithrombin III, which limits clotting to the injured site, is greatly potentiated by:

A

Heparin

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11
Q

The laboratory evaluation for a patient taking warfarin should include which of the following tests?

A

International normalized ratio

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12
Q

Which platelet inhibitor is indicated for a patient who has had a cerebrovascular accident (CVA) or transient ischemic attack (TIA) while on aspirin (ASA) therapy?

A

Dipyridamole and ASA (Aggrenox)

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13
Q

Which platelet inhibitor is indicated for a patient who has had a cerebrovascular accident (CVA) or transient ischemic attack (TIA) while on aspirin (ASA) therapy?

A

Dipyridamole and ASA (Aggrenox)

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14
Q

Warfarin is susceptible to drug-drug interactions because of which of its features?

A

Protein binding

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15
Q

Used in patients with unstable angina and patients undergoing percutaneous transluminal coronary angioplasty (PTCA) and stent placement, glycoprotein IIb/IIIa inhibitors are potent:

A

Platelet inhibitors.

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16
Q

The mechanism of action of warfarin is:

A

Inhibiting the conversion of prothrombin to thrombin.

17
Q

Which of the following statements about prasugrel (Effient®) is true?

A

Prasugrel is not indicated for a patient with a previous CVA or TIA.