Anticoagulants Classification Quiz
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Questions and Answers

What is the first clotting factor to decline in the presence of anticoagulants according to the text?

  • Factor II
  • Protein C (correct)
  • Factor VII
  • Factor IX

Which enzyme is required for the regeneration of hydroquinone form of vitamin K in the clotting process?

  • Vitamin K epoxide reductase (VKOR) (correct)
  • Thrombin
  • Cytochrome P450
  • Vitamin K carboxylase

Which CYP enzyme metabolizes S-warfarin, the more active isomer of warfarin?

  • CYP3A4
  • CYP1A2
  • CYP2C9 (correct)
  • CYP2D6

What is the main mechanism of action of oral anticoagulants like warfarin and phenindione?

<p>Inhibiting the activation of vitamin K dependent clotting factors (B)</p> Signup and view all the answers

What is the major clinical consequence of phenindione usage among patients?

<p>Orange coloured urine (B)</p> Signup and view all the answers

Which factor has the longest half-life among the clotting factors discussed in the text?

<p>Factor II (C)</p> Signup and view all the answers

Which test is considered a better option for monitoring the effect of oral anticoagulants according to the text?

<p>International normalized ratio (INR) (C)</p> Signup and view all the answers

What is the specific antidote mentioned for warfarin overdose in the text?

<p>Vitamin K1 (A)</p> Signup and view all the answers

Which specific clotting factors are affected by oral anticoagulants like warfarin and dicumarol?

<p>Clotting factors II, VII, IX, and X (C)</p> Signup and view all the answers

Why is warfarin contra-indicated during pregnancy according to the text?

<p>It causes fetal warfarin syndrome (B)</p> Signup and view all the answers

Flashcards

First clotting factor to decline with anticoagulants?

Protein C

Enzyme for vitamin K regeneration?

Vitamin K epoxide reductase (VKOR)

CYP enzyme for S-warfarin metabolism?

CYP2C9

Warfarin's main action?

Inhibits vitamin K-dependent clotting factors.

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Major phenindione side effect?

Orange urine.

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Clotting factor with longest half-life?

Factor II (Prothrombin).

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Best test for oral anticoagulant monitoring?

International Normalized Ratio (INR).

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Warfarin overdose antidote?

Vitamin K1.

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Which clotting factors are affected by warfarin?

Factors II, VII, IX, and X.

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Warfarin's pregnancy contraindication?

Fetal warfarin syndrome.

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