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NDEB Practice Exam
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A 58-year-old patient on warfarin presents for a single non-surgical extraction. Her INR measured this morning is 2.3 (therapeutic range 2.0-3.0). What is the most appropriate management?
Proceed with the extraction without interrupting warfarin, using local hemostatic measures
Stop warfarin for 5 days and reschedule the extraction
Reduce the warfarin dose by half for 3 days before treatment
Refer the patient to hospital for the extraction under heparin bridging
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Correct Answer:
Proceed with the extraction without interrupting warfarin, using local hemostatic measures
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