MRCP UK EXAMINATIONS

CLINICAL ENCOUNTERS

ANTICOAGULATION

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
below the target value, there is a hemorrhagic risk and above there is a thrombotic risk
A
TRUE
B
faux
C
Either A or B
D
None of the above
Explanation: 

Detailed explanation-1: -A typical INR target ranges from 2-3 but can vary from patient to patient. Patients with a tendency towards clotting may have a range targeting 3-4, whereas patients with a higher bleeding risk may have a lower INR between 2-2.5.

Detailed explanation-2: -In healthy people an INR of 1.1 or below is considered normal. An INR range of 2.0 to 3.0 is generally an effective therapeutic range for people taking warfarin for certain disorders. These disorders include atrial fibrillation or a blood clot in the leg or lung.

Detailed explanation-3: -INR levels above 4.9 are considered critical values and increase the risk of bleeding.

Detailed explanation-4: -In the paper published in Annals of Internal Medicine, the researchers report that one of the two most common direct oral anticoagulants (DOACs), apixaban, has the lowest risk of gastrointestinal bleeding, with similar performance on stroke prevention and other side effects.

There is 1 question to complete.