A 48-year-old woman comes to the emergency department to evaluate…
A 48-year-old woman comes to the emergency department to evaluate severe right leg pain and swelling for three days. The symptoms have worsened to the extent that the patient cannot bear weight on her right leg. She does not have shortness of breath, chest pain, or lightheadedness. Past medical history was significant for an abdominal hysterectomy for abnormal uterine bleeding three weeks ago. The patient’s postoperative course was unremarkable. Family history is significant for hypertension in the patient’s father. She does not use tobacco, alcohol, or illicit drugs. Vitals are within normal limits. Physical examination shows swelling and tenderness of the right leg and ankle. Duplex ultrasonography reveals a non-compressible right femoral vein. In addition to low-molecular-weight heparin, another anti-coagulant is added to the patient’s medication regimen to achieve long-term anticoagulation. Which of the following best describes the mechanism of action of this medication? Elimination tool Inhibits phosphodiesterase Binds to thrombin active site Blocks glutamate residue carboxylation Blocks GP IIb/IIIa surface receptors Blocks ADP receptors
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