**Core Concept**
Direct acting anti-platelet agents inhibit platelet aggregation by directly interacting with platelet components, such as receptors or enzymes. These agents bypass the need for coagulation factor activation and are effective in preventing thrombotic events.
**Why the Correct Answer is Right**
The correct answer is **Aspirin**. Aspirin exerts its anti-platelet effect by irreversibly inhibiting the enzyme cyclooxygenase-1 (COX-1), which is responsible for the production of thromboxane A2, a potent platelet agonist. This results in a decrease in platelet aggregation and an increased risk of bleeding.
**Why Each Wrong Option is Incorrect**
**Option A:** Clopidogrel is a direct acting anti-platelet agent that inhibits the P2Y12 receptor on platelet surface, preventing adenosine diphosphate (ADP)-induced platelet aggregation.
**Option B:** Prasugrel is another direct acting anti-platelet agent that also inhibits the P2Y12 receptor, similar to clopidogrel.
**Option D:** Ticagrelor is a direct acting anti-platelet agent that inhibits the P2Y12 receptor, but has a reversible mechanism of action.
**Clinical Pearl / High-Yield Fact**
Direct acting anti-platelet agents are often used in combination with anticoagulants to achieve synergistic anti-thrombotic effects.
**Correct Answer:** A. Aspirin.
Free Medical MCQs · NEET PG · USMLE · AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.