American Medical Certification Association (AMCA) Phlebotomy Practice Exam

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A patient taking warfarin is scheduled for a procedure with substantial bleeding risk. Which laboratory value is most directly used to assess warfarin's anticoagulant effect?
Correct Answer:
International normalized ratio
Explanation:
Warfarin prolongs the prothrombin time, which is standardized as the international normalized ratio (INR). The INR is therefore the routine laboratory measure used to assess its anticoagulant effect.

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