Atrial Fibrillation — RACP Adult Medicine MCQ

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EasyCardiologyAtrial FibrillationRACP Adult Medicine

A 70-year-old man with newly diagnosed atrial fibrillation has a history of hypertension, diabetes, and previous TIA. Using the CHA₂DS₂-VA score recommended by the Australian AF guidelines, what is his score?

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Correct answer: C — 5

The Australian AF guidelines use the CHA₂DS₂-VA score (sex is no longer an independent risk factor). His score: hypertension (1) + diabetes (1) + age 65–74 (1) + previous TIA/stroke (2) = 5. Oral anticoagulation with a DOAC is strongly recommended for CHA₂DS₂-VA ≥2.

Reference: NHF/CSANZ – 2018 – Australian Clinical Guidelines for the Diagnosis and Management of AF