Question

A 61-year-old with nonvalvular AF and CKD stage 3b (eGFR 38) needs stroke prevention. Which option is appropriate?

Accepted Answer

Apixaban with dose selection per labeling for renal function.

Answer

Dabigatran 150 mg BID without renal adjustment.

Answer

Aspirin plus clopidogrel dual therapy instead of anticoagulation.

Answer

Warfarin targeting INR 1.0-1.5.

Answer

No therapy because CKD increases bleeding risk.

Practice question

A 61-year-old with nonvalvular AF and CKD stage 3b (eGFR 38) needs stroke prevention. Which option is appropriate?