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Oral anticoagulant bleeding counselling — GPhC CRA MCQ

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ModeratePatient Counselling and Pharmaceutical CareOral anticoagulant bleeding counsellingGPhC CRA

A patient taking apixaban asks which symptoms should prompt urgent help. He has noticed adverts about anticoagulant safety. What would you advise the patient?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Seek urgent help for black stools, coughing blood, severe headache, or uncontrolled bleeding

Patients on anticoagulants should be counselled on bleeding symptoms that require urgent assessment. Black stools, haemoptysis, severe headache after trauma, or uncontrolled bleeding are concerning. The patient should not stop or adjust anticoagulation without clinical advice unless emergency instructions require it.

Reference: BNF; NICE CKS