A Patient On Warfarin With Increased INR

A 65-year-old with a history of chronic atrial fibrillation is being monitored while on warfarin therapy. The nurse calls to inform you the patient’s international normalized ratio (INR) is measured at 7. He has no active signs of bleeding, but is at increased risk of bleeding. Appropriate management at this time includes which of the following:

A) Stop warfarin, observe, and repeat INR in 3 days.
B) Stop warfarin and observe; repeat INR in 24 hours.
C) Stop warfarin, give vitamin K, and repeat INR in 24 hours.
D) Stop warfarin, give vitamin K and fresh-frozen plasma with daily INRs.

Answer:

Tumor Markers

Which of the following tumor markers is correct for the condition?

A) CA (cancer antigen) 27.29 for metastatic cervical cancer
B) CA (cancer antigen) 125 for hepatic carcinoma
C) AFP (α-fetoprotein) for ovarian carcinoma
D) CA (cancer antigen) 19–9 for pancreatic cancer
E) β-hCG (beta unit of human chorionic gonadotropin) for ovarian cancer

Answer:

Retinal Detachment

Which of the following is considered a risk factor for retinal detachment?
A) Glaucoma
B) Diabetic retinopathy
C) Hyphema
D) Myopia

Answer:

D : Myopia