RCSI Surgery Practice Test & Exam Prep

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A patient on warfarin with INR 3.8 requires extraction of a non-restorable lower molar. There is no active bleeding and no significant liver disease. What is the most appropriate management?

Extract without alteration and use local haemostatic measures Stop warfarin for 5 days before extraction without bridging Bridge with low-molecular-weight heparin and stop warfarin Postpone indefinitely until INR is below 1.5

Correct Answer:

Extract without alteration and use local haemostatic measures

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