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Clinical Pharmacology · MCQ · Exam Level
Q 3 / 20
⏱ 14:32
SINGLE BEST ANSWER
A 68-year-old man with AF on warfarin 5mg/day (INR 2.4) is started on fluconazole for oral candidiasis. Five days later his INR is 6.8 with gum bleeding. What is the PRIMARY pharmacokinetic mechanism?
A
Fluconazole induces CYP2C9, increasing warfarin clearance
B
Fluconazole inhibits CYP2C9, reducing warfarin clearance
C
Fluconazole displaces warfarin from plasma protein binding sites
D
Fluconazole reduces vitamin K production by gut flora
E
Fluconazole directly activates VKORC1 enzyme
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