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    The effects of aspirin do not include:
    Question

    The effects of aspirin do not include:

    A.

    Reduction of fever

    B.

    Reduction of prostaglandin synthesis in inflamed tissues

    C.

    Auto of kidney function

    D.

    Reduction of bleeding tendency

    Correct option is D

    Aspirin (acetylsalicylic acid) is a non-steroidal anti-inflammatory drug (NSAID) with multiple pharmacological effects due to its irreversible inhibition of cyclooxygenase (COX-1 and COX-2) enzymes, which reduces prostaglandin and thromboxane synthesis.

    Common Effects of Aspirin:

    • Antipyretic (reduces fever) – by acting on the hypothalamus
    • Anti-inflammatory – by inhibiting prostaglandin synthesis in inflamed tissues
    • Analgesic – relieves pain
    • Antiplatelet – inhibits thromboxane A₂, reducing platelet aggregation

    Important Note:

    Aspirin increases bleeding tendency, not reduces it, due to:

    • Inhibition of platelet aggregation
    • Prolongation of bleeding time

    Thus, the effect NOT included among aspirin’s actions is:
    Reduction of bleeding tendency

    Explanation of Each Option:

    • (a) Reduction of fever – ️
      Aspirin acts on the hypothalamic heat-regulating center, reducing fever (antipyretic effect).
    • (b) Reduction of prostaglandin synthesis in inflamed tissues – ️
      It inhibits COX enzymes, thereby reducing prostaglandins, which mediate inflammation.
    • (c) Auto of kidney function – ️ (likely meant as "alteration" of kidney function)
      Aspirin can alter renal function, especially in high doses or in patients with pre-existing kidney disease.
    • (d) Reduction of bleeding tendency –
      Incorrect. Aspirin increases the risk of bleeding by inhibiting platelet aggregation, not reducing it.

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