#february2020usmle2ck
A 75-year-old man presents to his physician for a routine examination. He has a history of hypertension, hypercholesterolemia and osteoarthritis. He takes atenolol, simvastatin and ibuprofen as needed. His pulse is 76/min and irregular. Blood pressure is 130/74. Physical examination and imaging studies are normal except for asymptomatic atrial fibrillation.
What is the most appropriate next step in management of this patient?
A- Assurance and follow up in 3 months
B- Start aspirin
C- Start heparin
D- Start warfarin
E- Start low molecular weight heparin and warfarin
A 75-year-old man presents to his physician for a routine examination. He has a history of hypertension, hypercholesterolemia and osteoarthritis. He takes atenolol, simvastatin and ibuprofen as needed. His pulse is 76/min and irregular. Blood pressure is 130/74. Physical examination and imaging studies are normal except for asymptomatic atrial fibrillation.
What is the most appropriate next step in management of this patient?
A- Assurance and follow up in 3 months
B- Start aspirin
C- Start heparin
D- Start warfarin
E- Start low molecular weight heparin and warfarin
