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Primary prevention aspirin — ABFM Board MCQ

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EasyCardiovascularPrimary prevention aspirinABFM Board

A 73-year-old man asks whether he should start daily aspirin because his friend had a myocardial infarction. He has hypertension controlled with medication, no prior cardiovascular disease, and a history of peptic ulcer bleeding. Which of the following would you advise this patient?

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

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Correct answer: D — Avoid starting aspirin for primary prevention

In older adults and patients with increased bleeding risk, aspirin for primary prevention has unfavorable net benefit.

Reference: ACC/AHA Primary Prevention Guideline: https://www.acc.org/latest-in-cardiology/ten-points-to-remember/2019/03/07/16/00/2019-acc-aha-guideline-on-primary-prevention-gl-prevention