ABIM Internal Medicine Practice Questions - American Board Of Internal Medicine Initial Certification (Internal Medicine) Exam

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A 72-year-old woman with hypertension, diabetes, and prior stroke has newly diagnosed nonvalvular atrial fibrillation. Her CHA2DS2-VASc is 5. What is the most appropriate stroke prevention?

Oral anticoagulation with a direct oral anticoagulant (DOAC) Aspirin 81 mg daily Aspirin plus clopidogrel No therapy until symptoms develop

Correct Answer:

Oral anticoagulation with a direct oral anticoagulant (DOAC)

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