Brazil Healthcare Practice Test & Exam Prep

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A 71-year-old female with a history of hypertension, type 2 diabetes, and permanent non-valvular atrial fibrillation has normal renal function. She has no history of stroke, TIA, or vascular disease. According to the CHA2DS2-VASc score and Brazilian cardiology consensus, what is her score and recommended stroke prevention strategy?

Score = 4; oral anticoagulation with a Direct Oral Anticoagulant (DOAC, e.g., apixaban, rivaroxaban, dabigatran, or edoxaban) is strongly recommended. Score = 2; antiplatelet monotherapy with acetylsalicylic acid (aspirin) 100 mg daily is the preferred first-line therapy. Score = 1; no antithrombotic or anticoagulant therapy is indicated given preserved left ventricular function. Score = 5; combination therapy of warfarin plus clopidogrel and aspirin (triple therapy) is mandatory indefinitely.

Correct Answer:

Score = 4; oral anticoagulation with a Direct Oral Anticoagulant (DOAC, e.g., apixaban, rivaroxaban, dabigatran, or edoxaban) is strongly recommended.

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