Residencias CABA Medicina Practice Questions - Buenos Aires City Health Residencies Contest (Concurso De Residencias Del Equipo De Salud Del GCABA - Medicina) Exam

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A 71-year-old male with a history of hypertension, type 2 diabetes mellitus, and a previous ischemic stroke 2 years ago is diagnosed with non-valvular atrial fibrillation during a routine clinic visit. He is currently asymptomatic with a heart rate of 78 bpm. What is his CHA2DS2-VASc score and what is the recommended long-term management strategy to prevent systemic thromboembolism?

CHA2DS2-VASc score 2; initiate low-dose aspirin (100 mg daily) CHA2DS2-VASc score 3; initiate dual antiplatelet therapy with aspirin plus clopidogrel CHA2DS2-VASc score 5; initiate oral anticoagulation with a direct oral anticoagulant (DOAC) or warfarin CHA2DS2-VASc score 4; perform urgent electrical cardioversion without anticoagulation

Correct Answer:

CHA2DS2-VASc score 5; initiate oral anticoagulation with a direct oral anticoagulant (DOAC) or warfarin

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