A 68-year-old man with paroxysmal atrial fibrillation, hypertension, and type 2 diabetes presents for routine care. He has no valvular disease, weighs...

Question

A 68-year-old man with paroxysmal atrial fibrillation, hypertension, and type 2 diabetes presents for routine care. He has no valvular disease, weighs 82 kg, and his eGFR is 72 mL/min/1.73 m². His CHA₂DS₂-VASc score is 3. What is the most appropriate strategy to prevent stroke?

Accepted Answer

Start apixaban 5 mg twice daily

Answer

Start aspirin 81 mg daily alone

Answer

Start warfarin with INR target 2-3

Answer

Start clopidogrel 75 mg daily

Answer

No antithrombotic therapy is needed

us-usmle-step-2 MCQ (SBA): Atrial Fibrillation

A 68-year-old man with paroxysmal atrial fibrillation, hypertension, and type 2 diabetes presents for routine care. He has no valvular disease, weighs 82 kg, and his eGFR is 72 mL/min/1.73 m². His CHA₂DS₂-VASc score is 3. What is the most appropriate strategy to prevent stroke?