Pharmacology · single question

What is the mechanism of action of aspirin?

  1. Direct inhibitor of factor Xa
  2. Inhibits vitamin K reductase
  3. Antiplatelet (irreversible COX inhibition)
  4. Inactivates thrombin
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Correct answer: C. Antiplatelet (irreversible COX inhibition)

Aspirin irreversibly acetylates and inhibits cyclooxygenase (COX-1/COX-2), blocking thromboxane A2 production in platelets for their entire ~7-10 day lifespan — this is its antiplatelet mechanism. Factor Xa inhibitors (like apixaban), vitamin K antagonists (warfarin), and direct thrombin inhibitors (like dabigatran) are all different drug classes with different mechanisms.

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