A 73-year-old woman with type 2 diabetes presents with painless loss of vision in her right eye. She also reports transient right arm weakness lasting...

Question

A 73-year-old woman with type 2 diabetes presents with painless loss of vision in her right eye. She also reports transient right arm weakness lasting 10 minutes last week. She has atrial fibrillation and is on Aspirin 75 mg (not anticoagulated). Her CHA₂DS₂-VASc score is 5. What is the MOST important medication change?

Accepted Answer

Start anticoagulation with a DOAC and stop Aspirin

Answer

Add Clopidogrel to Aspirin

Answer

Increase Aspirin to 300 mg daily

Answer

Start Warfarin with a target INR of 3.0-3.5

Answer

No change - her stroke risk is managed by Aspirin

uk-dgm MCQ (SBA): Inadequate Anticoagulation in AF - Switching to DOAC