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Author3 Posts
  #1

A 24-year-old woman with a mechanical bileaflet aortic valve prosthesis presents 14 weeks after her last menstrual period. A pregnancy test is positive. She takes warfarin 4 mg daily to maintain her INR between 2 and 3.



Which is the most appropriate therapy to prevent valve thrombosis at this point in the patient's pregnancy?


A Continue warfarin to maintain an INR of 2 to 3 B Replace warfarin with aspirin 325 mg daily C Replace warfarin with subcutaneous unfractionated heparin 5000 U twice daily D Add clopidrogrel 75 mg daily to current warfarin dose E Increase warfarin to maintain an INR of 3 to 4

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seeking study partner in USMLE, Canadian MCC OSCE examination

  #2

I think C is the answer

  #3

i will go wid C as well...as she is still in the first trimester...









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