A 70-year-old on OAC for AF presents with epistaxis controlled in ED. INR normal on apixaban. Next step for stroke prevention?...

Question

A 70-year-old on OAC for AF presents with epistaxis controlled in ED. INR normal on apixaban. Next step for stroke prevention?

Accepted Answer

Continue OAC; address local bleeding risk factors

Answer

Discontinue OAC permanently

Answer

Switch to aspirin

Answer

Lower dose regardless of renal function

Answer

Add clopidogrel

us-abim MCQ (SBA): AF (minor bleed management)