Eidgenössisches Examen Humanmedizin Practice Questions - Eidgenössische Prüfung In Humanmedizin Examen Fédéral En Médecine Humaine Exam

Access More Questions

A 71-year-old male with a history of hypertension and type 2 diabetes mellitus presents with palpitations. An ECG confirms newly diagnosed atrial fibrillation with a ventricular response of 115 bpm. He has no prior history of stroke, TIA, or vascular disease. Echocardiography shows preserved left ventricular systolic function and no significant valvular disease. Blood pressure is 138/82 mmHg. What is his CHA2DS2-VASc score, and what is the recommended long-term antithrombotic management?

CHA2DS2-VASc = 1; prescribe low-dose aspirin 100 mg daily CHA2DS2-VASc = 2; dual antiplatelet therapy with aspirin and clopidogrel for 12 months CHA2DS2-VASc = 3; oral anticoagulation with a direct oral anticoagulant (DOAC, e.g., apixaban, edoxaban, or rivaroxaban) as preferred first-line therapy CHA2DS2-VASc = 4; therapeutic intravenous unfractionated heparin bridging followed by lifelong vitamin K antagonist (warfarin/phenprocoumon) with target INR 3.0–4.0

Correct Answer:

CHA2DS2-VASc = 3; oral anticoagulation with a direct oral anticoagulant (DOAC, e.g., apixaban, edoxaban, or rivaroxaban) as preferred first-line therapy

Access more questions from this quiz

Continue to Eidgenössisches Examen Humanmedizin Practice Questions - Eidgenössische Prüfung in Humanmedizin Examen fédéral en médecine humaine Exam for more practice questions and the full quiz experience.

Access More Questions