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Anticoagulant bleeding symptoms — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsAnticoagulant bleeding symptomsGPhC CRA

A 74-year-old man newly started on rivaroxaban for atrial fibrillation asks which symptoms should make him seek medical help. He also takes lansoprazole and ramipril. What would you advise the patient?

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

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Correct answer: E — Report black stools, prolonged nosebleeds or unexplained bruising

Rivaroxaban increases bleeding risk, so patients need counselling on clinically important bleeding symptoms. Black stools may indicate gastrointestinal bleeding, and prolonged bleeding or unexplained bruising require assessment. The pharmacist should also advise checking before using OTC NSAIDs. The other symptoms are not specific warning signs for anticoagulant harm.

Reference: BNF; NICE CKS