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Secondary stroke prevention — USMLE Step 3 MCQ

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ModerateInternal Medicine (chronic management)Secondary stroke preventionUSMLE Step 3

A 64-year-old man had a noncardioembolic ischemic stroke 1 month ago. He has recovered well. LDL cholesterol is 118 mg/dL, blood pressure is controlled, and telemetry showed no atrial fibrillation. Which of the following would you recommend at the follow-up visit?

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

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Correct answer: BUse antiplatelet therapy plus high-intensity statin

Secondary prevention after noncardioembolic ischemic stroke includes antiplatelet therapy and intensive vascular risk reduction.

Reference: AHA/ASA Secondary Stroke Prevention Guideline