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Clopidogrel antiplatelet effect — FRCA Primary MCQ

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ModeratePharmacologyClopidogrel antiplatelet effectFRCA Primary

A patient with a recent coronary stent has reduced ADP-mediated platelet aggregation. Which drug is most likely responsible?

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

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Correct answer: BClopidogrel

Clopidogrel is a P2Y12 receptor antagonist that reduces ADP-mediated platelet activation. Bupivacaine is less appropriate because it would fit a different clinical clue or a separate anaesthetic problem. Propofol is less appropriate because it would fit a different clinical clue or a separate anaesthetic problem. Noradrenaline is less appropriate because it would fit a different clinical clue or a separate anaesthetic problem. Salbutamol is less appropriate because it would fit a different clinical clue or a separate anaesthetic problem. In Primary FRCA pharmacology, link the clinical effect to the receptor, distribution or elimination mechanism rather than memorising isolated facts.

Reference: Peck, Hill & Williams Pharmacology for Anaesthesia and Intensive Care; BNF; Primary FRCA textbooks