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Give me a pharmacology MCQ
A 68-year-old man on warfarin presents with an INR of 8.2 and bleeding gums. What is the most appropriate initial management?
A) IV vitamin K only
B) Prothrombinex + vitamin K
C) Fresh frozen plasma
D) Stop warfarin and recheck
B?
✓ Correct! With significant bleeding and INR > 8, you need both rapid reversal (Prothrombinex) and sustained correction (vitamin K).
Explanation: Warfarin inhibits vitamin K epoxide reductase, depleting factors II, VII, IX, X. With active bleeding + supratherapeutic INR, you need Prothrombinex (concentrated factors) for immediate reversal plus vitamin K for sustained correction. FFP is second-line (volume overload risk). See RACP guidelines Ch. 14.
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Common questions

Dr Prep is built for Australian medical training exams: AMC (clinical and written), RACP (basic and advanced physician training), RANZCP (psychiatry), RACS (surgical), and RACGP (general practice). When you first connect, you tell it which exam you're preparing for and it tailors everything accordingly.
ChatGPT is a general-purpose chatbot. Dr Prep is a dedicated exam tutor that remembers everything about you: your exam, your strengths, your weak areas, your textbooks, and your study progress. It builds a personalised study plan that adapts over time, tracks what you've covered, and retests topics you're struggling with. It's not a one-off Q&A, it's a tutor that knows you and grows with you throughout your exam preparation.
Not at all. If you can send a chat message, you can use Dr Prep. There's no app to install and no complicated setup. Open Dr Prep Chat, log in with your email, and talk to your tutor like you'd message a colleague.
Upload any PDF file in Dr Prep Chat. It reads the document, indexes it, and uses it as context for questions and explanations. You can upload textbooks, lecture notes, past exam papers, clinical guidelines, or any other study material.
Yes. Your conversations and uploaded materials are stored only for your use. They are not shared with other users or used to train AI models. If you cancel your subscription, your data is deleted after 90 days.
Yes, cancel anytime through the Stripe billing portal. No lock-in, no cancellation fees. If you cancel, you keep access until the end of your current billing period. If you change your mind, resubscribing takes 30 seconds and your data is still there.
No. Dr Prep is strictly an exam preparation tool. It helps you study for medical training exams. It is not a clinical decision support tool and should not be used for patient care decisions.

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