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Atrial Fibrillation — UKMLA MCQ

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HardCardiologyAtrial FibrillationUKMLAMRCP Part 1

A patient with atrial fibrillation has ORBIT bleeding score 2 because of anaemia and age. What is the most useful action arising from the bleeding score?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Investigate and treat the potentially reversible anaemia

The best answer is “Investigate and treat the potentially reversible anaemia”. A bleeding score identifies modifiable hazards and structures follow-up; it is not a threshold for denying anticoagulation when stroke prevention is indicated. Anaemia, renal function, blood pressure, interacting medicines and alcohol exposure should be addressed while stroke and bleeding risks are discussed with the patient.

Reference: NICE NG196: Atrial fibrillation — diagnosis and management: https://www.nice.org.uk/guidance/ng196/chapter/Recommendations