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Aspirin primary prevention — USMLE Step 3 MCQ

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ModeratePreventive Medicine, Epidemiology, BiostatisticsAspirin primary preventionUSMLE Step 3

A 63-year-old man with hypertension asks whether to start aspirin to prevent a first myocardial infarction. He has no cardiovascular disease and no history of stroke. His bleeding risk is not negligible because of prior peptic ulcer disease. Which of the following is the most appropriate at this time?

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Correct answer: B — Do not initiate aspirin for primary prevention

USPSTF recommends against initiating low-dose aspirin for primary prevention in adults aged 60 years or older.

Reference: USPSTF Aspirin Use to Prevent Cardiovascular Disease Recommendation