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Atrial fibrillation anticoagulation — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsAtrial fibrillation anticoagulationGPhC CRA

A 76-year-old woman with non-valvular AF, hypertension and diabetes asks about stroke prevention; renal function is normal. What is the most appropriate alternative?

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Correct answer: C — Start a direct oral anticoagulant after shared decision-making

Her stroke risk is high and anticoagulation is preferred for AF stroke prevention when not contraindicated. This makes start a direct oral anticoagulant after shared decision-making the single best answer in this scenario. The other options would either miss the key safety issue, delay appropriate review, or fail to meet the relevant clinical or professional requirement.

Reference: NICE CKS; BNF