USMLE Step 3 Drug MOA Practice Test

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Question: 1 / 400

What is the primary result of aspirin's action on cyclooxygenase (COX)?

Increased thromboxane A2 production

Decreased formation of inflammatory mediators

Aspirin primarily exerts its effects by irreversibly inhibiting cyclooxygenase (COX), which is crucial in the conversion of arachidonic acid into prostaglandins and thromboxanes. The inhibition of COX leads to decreased formation of inflammatory mediators, including prostaglandins that are responsible for mediating inflammation, pain, and fever. Furthermore, the reduction in thromboxane A2 synthesis—specifically in platelets—results in diminished platelet aggregation, contributing to aspirin's effectiveness as an antiplatelet agent. Thus, option B accurately reflects the primary result of aspirin's mechanism of action on COX, highlighting its role in reducing inflammatory processes.

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Inhibition of leukotriene synthesis

Enhanced platelet aggregation

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