Anticoagulant Mechanisms
Regional Anesthesia Risks
Diuretics
Lipid Pharmacology
Clinical Scenarios
400

This anticoagulant enhances antithrombin activity to inhibit thrombin and factor Xa.

What is heparin

400

This anticoagulant increases risk of epidural hematoma with neuraxial catheters.

What is LMWH

400

This diuretic inhibits carbonic anhydrase in the proximal tubule.

What is acetazolamide

400

These drugs inhibit HMG-CoA reductase.

What are statins

400

A trauma patient with hemorrhage receives TXA to stabilize this structure.

What is a fibrin clot

800

LMWH primarily inhibits this clotting factor.

What is factor Xa

800

This renal condition makes LMWH unsafe due to prolonged effect.

What is renal failure

800

Loop diuretics block this transporter in the thick ascending limb.

What is Na-K-2Cl cotransporter

800

Statins primarily reduce this lipoprotein.

What is LDL

800

A cardiac bypass patient requires this monitoring test for high-dose heparin.

What is ACT

1200

This direct thrombin inhibitor is preferred in renal failure due to hepatic clearance.

What is argatroban

1200

This anticoagulant reversal agent does NOT fully reverse LMWH.

What is protamine

1200

This loop diuretic is nonsulfonamide and useful for sulfa allergy.

What is ethacrynic acid

1200

This lipid particle carries cholesterol from liver to tissues.

What is LDL

1200

A patient with HIT requires this class of anticoagulants.

What are direct thrombin inhibitors

1600

This anticoagulant inhibits vitamin K–dependent clotting factor synthesis.

What is warfarin

1600

Surgery should typically occur this many days after stopping warfarin.

What is 5 days

1600

Loop diuretics commonly cause this electrolyte abnormality.

What is hypokalemia

1600

This lipid particle is responsible for reverse cholesterol transport.

What is HDL

1600

This drug is preferred anticoagulant in HIT with renal failure.

What is argatroban

2000

These clotting factors are inhibited by warfarin.

What are factors II, VII, IX, and X

2000

This complication can occur with heparin due to antibodies to platelet factor IV.

What is heparin-induced thrombocytopenia (HIT)

2000

These diuretics act on the distal tubule blocking the Na-Cl transporter.

What are thiazide diuretics

2000

These biologics lower LDL by inhibiting PCSK9.

What are PCSK9 inhibitors

2000

A diabetic patient receiving NPH insulin has increased risk of reaction to this reversal drug.

What is protamine

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