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Pharmacology General 8a031651

You started a patient on oral warfarin. Which of the following factors show the most rapid decline in the blood levels after the initiation of warfarin therapy?

A
Factor VII
B
Protein C
C
Factor X
D
Prothrombin
High-Yield Explanation
Protein C, protein S (both having anticoagulant property) and osteocalcin contain glutamate residues that require Vit. K dependent γ carboxylation. These are also inhibited by oral anticoagulants, but density of adult bone is not affected, though new bone formation may be depressed. Reference: Essentials of Medical Pharmacology Seventh Edition KD TRIPATHI  page no 621

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