Pharmacology · single question

Which mechanism explains the bleeding tendency?

Chief complaint: 'my gums bleed a lot when I brush'; bleeding on probing; patient takes warfarin.

  1. Inhibition of vitamin K
  2. Inhibition of platelet aggregation (COX)
Show answer and explanation

Correct answer: A. Inhibition of vitamin K

Warfarin → vitamin K antagonism → bleeding tendency.
  • A. Correct. Warfarin inhibits vitamin K–dependent clotting factor synthesis, increasing bleeding (reflected by elevated INR).
  • B. That is aspirin's mechanism; warfarin works via vitamin K.

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