Pharmacology · single question

Clinical case of a patient with bleeding gums. Cause?

  1. Warfarin
  2. Lisinopril
  3. Metformin
  4. Omeprazole
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Correct answer: A. Warfarin

  • A. Correct. Warfarin inhibits vitamin K-dependent clotting factor synthesis, increasing bleeding risk and commonly presenting as gingival bleeding in dental patients.
  • B. Lisinopril (ACE inhibitor) is not associated with bleeding; its notable oral side effect is dry cough (via bradykinin), and rarely angioedema.
  • C. Metformin is not associated with bleeding tendencies.
  • D. Omeprazole (a PPI) is not associated with bleeding tendencies.

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