Pharmacology · single question

Apixaban exerts its anticoagulant effect by inhibiting which clotting factor?

  1. Factor Xa
  2. Factor IIa (thrombin) directly
  3. Factor VII
  4. Vitamin K epoxide reductase
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Correct answer: A. Factor Xa

Apixaban (like rivaroxaban) is a direct factor Xa inhibitor; reversal agents include andexanet alfa and prothrombin complex concentrates.Other options: Direct thrombin (IIa) inhibition describes dabigatran; vitamin K epoxide reductase inhibition describes warfarin.Key exam takeaway: Apixaban/rivaroxaban = direct factor Xa inhibitors; dabigatran = direct thrombin inhibitor.

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