Arab Board Family Medicine Final Written Practice Questions - Arab Board Of Health Specializations (ABHS) Family Medicine Final Written Examination Exam

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A 71-year-old woman with a history of hypertension and type 2 diabetes is found to have non-valvular atrial fibrillation on a routine ECG. She is asymptomatic and has no history of stroke, transient ischemic attack, or heart failure. Her calculated CHA2DS2-VASc score is 4 (Age 65-74 = 1, Female = 1, Hypertension = 1, Diabetes = 1). What is the recommended long-term stroke prevention strategy?

Aspirin 81 mg daily monotherapy Dual antiplatelet therapy with aspirin and clopidogrel Direct oral anticoagulant (DOAC) such as apixaban or rivaroxaban No antithrombotic therapy required since she is asymptomatic

Correct Answer:

Direct oral anticoagulant (DOAC) such as apixaban or rivaroxaban

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