skip to main content

Aspirin primary prevention — DGM MCQ

Instant feedback + full explanation. One question, done properly.

ModeratePolypharmacyAspirin primary preventionDGM

An 85-year-old man has recurrent epistaxis and bruising. He has hypertension but no history of myocardial infarction, stroke, peripheral arterial disease or stent. Platelets and clotting are normal. Current medicines include aspirin, amlodipine and atorvastatin. Which medication should be reviewed?

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

Reveal the answer and explanation

Correct answer: A — Aspirin

Aspirin used for primary prevention in an older adult with bleeding should be reviewed because bleeding risk may outweigh benefit. Amlodipine and atorvastatin may still be indicated for cardiovascular risk, while paracetamol and macrogol do not explain bruising. Antiplatelet indication should be explicit, especially in older people.

Reference: STOPP/START criteria v3; NICE NG56