1. Which of the following best describes current recommendations for atrial fibrillation (AF) screening?

2. Which of the following patients would be assessed as “low thrombotic risk” and not require oral anticoagulation therapy?

3. Patient Case (Question 3)
A 70-year-old female patient with new onset paroxysmal AF presents with the following:
  • Past medical history of uncontrolled hypertension, type 2 diabetes, osteoarthritis, and osteopenia
  • Current vitals: BP 170/90, HR 90, RR 18
  • All current lab values are within normal limits
  • Current medications: lisinopril-HCTZ 10/12.5 mg po once daily, metoprolol ER 50 mg po once daily, atorvastatin 10 mg po once daily, naproxen 50 mg po q12h, metformin 500 mg po twice daily, and alendronate 35 mg po once weekly
Which of the following best represents her bleeding risk assessment?

4. An 82-year-old male patient was recently diagnosed with new onset NVAF. If he has a past medical history of being overweight (BMI = 29, 100 kg), hypertension (BP = 148/92 mmHg), chronic kidney disease stage 3 (CrCl = 35mL/min, SCr = 1.8), and Atherosclerotic Cardiovascular Disease (ASCVD) 10-year risk score = 15%, what oral anticoagulant options best fits the current AHA/ACC/HRS Guideline recommendations?

5. From the patient perspective, which is the most commonly cited reason for nonadherence to non-vitamin K oral anticoagulant (NOAC) medications?

Evaluation Questions

6. How confident are in your treatment choices for the patients in the question 3 and 4?

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