An 80-year-old woman with atrial fibrillation and CKD stage 3b takes apixaban. She returns after a fall without head injury. Hemoglobin and

Question

An 80-year-old woman with atrial fibrillation and CKD stage 3b takes apixaban. She returns after a fall without head injury. Hemoglobin and creatinine are stable, and she has no bleeding. CHA2DS2-VASc score is 5. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Continue anticoagulation while addressing fall risks

Answer

Place an inferior vena cava filter

Answer

Start dual antiplatelet therapy

Answer

Stop anticoagulation permanently after one fall

Answer

Switch to aspirin for stroke prevention

AF fall risk — USMLE Step 3 MCQ

An 80-year-old woman with atrial fibrillation and CKD stage 3b takes apixaban. She returns after a fall without head injury. Hemoglobin and creatinine are stable, and she has no bleeding. CHA2DS2-VASc score is 5. Which of the following would you recommend at the follow-up visit?