The Correct Answer is B!

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A 74-year-old man with obesity, hypertension, and paroxysmal atrial fibrillation who is planning for a prostatectomy. The patient's current medications include warfarin, digoxin, and losartan. His blood pressure in the office is 165/90, his heart rate is 69. Relevant history includes an upper-GI bleed, which occurred two years ago, after which the patient had EGD, where a duodenal ulcer was found and cauterized. He has no history of stroke or TIA. He has no other major surgeries in the past. The prostatectomy is scheduled to occur in seven days from now, and his INR today is 3.2.

Which factors increase this patient's risk of perioperative bleeding?

  1. Age
  2. BP 165/90
  3. Upper-GI bleed
  4. Concomitant digoxin
  5. Concomitant losartan

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