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Atrial fibrillation anticoagulation — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsAtrial fibrillation anticoagulationGPhC CRA

A 74-year-old woman with non-valvular AF asks about stroke prevention. She has hypertension and type 2 diabetes. She has no history of major bleeding and eGFR is 68 mL/min/1.73 m2. What is the most appropriate action?

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

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Correct answer: C — Refer to the prescriber to start oral anticoagulation

This patient has a high CHA2DS2-VASc score and should be considered for oral anticoagulation. Antiplatelet monotherapy is not an appropriate substitute for anticoagulation in AF. NSAIDs would increase bleeding and cardiovascular risk without addressing the indication.

Reference: NICE CKS; BNF