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NSAID/Anti-coagulant Adverse Side Effects

Total questions: 10

Worksheet time: 6mins

Name
Class
Date
1.

Which of the following is a common adverse side effect of both NSAIDs & anti-coagulants?

a)

Stomach pain

b)

Ulcer formation

c)

Kidney problems

d)

Increased bleeding risk

2.

What is the correct MOA of anti-coagulants?

a)

Thins the blood

b)

Interferes with and delays the blood coagulation process

c)

Stops blood from clotting

d)

Dissolves the blood clot

3.

What are two ways the long-term use of non-selective NSAIDs can increase your bleeding risk?

a)

Reduced gastroprotection

b)

Reduces the production of coagulation factors

c)

Reduced platelet aggregation

d)

Increases blood flow

4.

What are the 2 targets of non-selective NSAIDs?

a)

Arachidonic acid

b)

Thromboxane A2

c)

COX-1

d)

COX-2

5.

What is the target of selective NSAIDs?

a)

Thromboxane A2

b)

Arachidonic acid

c)

COX-2

d)

COX-1

6.

Out of the following NSAIDs listed below what would you recommend to a patient taking anti-coagulants?

a)

Etoricoxib

b)

Ibuprofen

c)

Naproxen

d)

Diclofenac

7.

Which enzyme promotes gastroprotection?

a)

COX-1

b)

COX-2

c)

Amylase

d)

Oxidases

8.

What listed below is a prostaglandin that is important for platelet aggregation?

a)

Arachidonic acid

b)

COX-2

c)

COX-1

d)

Thromboxane A2

9.

How does warfarin increase the risk of bleeding?

a)

Inhibits enzyme vitamin K epoxide reductase and the downstream effects increases bleeding risk

b)

Damages gastric mucosa

c)

Binds to the active site of thrombin and the downstream effects increases the bleeding risk

d)

Increases the formation of ulcers

10.

Select as many relevant answers. What are the signs of excessive bleeding?

a)

Passing blood in your stool

b)

Sudden severe back pain

c)

Vomiting blood

d)

Difficulty breathing

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