Pharmacology · single question

The antiplatelet/anti-inflammatory action of aspirin is due to:

  1. Irreversible inhibition of cyclooxygenase (COX-1), blocking thromboxane A2 synthesis
  2. Reversible COX-2 inhibition only
  3. Vitamin K antagonism
  4. Direct factor Xa inhibition
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Correct answer: A. Irreversible inhibition of cyclooxygenase (COX-1), blocking thromboxane A2 synthesis

  • A. Correct. Aspirin irreversibly acetylates COX, preventing thromboxane A2 formation in platelets for their lifespan (~7-10 days).
  • B. Aspirin's platelet effect is irreversible, not reversible, and not COX-2-selective.
  • C. Vitamin K antagonism describes warfarin.
  • D. Direct factor Xa inhibition describes apixaban/rivaroxaban.

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