Practice Questions
What is the most appropriate agent for stroke prevention in patients with a mechanical valve?
A – Dabigatran
B – Warfarin
C – Apixaban
D – Edoxaban
E – Rivaroxaban
What is the CHADS-VASc score for a 66 year old male patient with hypertension, diabetes, depression, erectile dysfunction and hypothyroidism
A – 1
B – 2
C – 3
D – 4
E – 5
What is the CHADS-VASc score for a 55 year old female with a history of Myocardial infarction and heart failure.
A – 1
B – 2
C – 3
D – 4
E – 5
Per the CHEST guidelines, which of the following patients with non-valvular atrial fibrillation require anticoagulation?
A – 50 year old female with hypertension
B – 60 year old male with diabetes
C – 55 year old female with history of stroke
D – 55 year old female with history of heart failure
E – 40 year old female with history of myocardial infarction
RJ is an 81 year old male who was recently diagnosed with atrial fibrillation. His most recent labs show a SCr of 2 mg/dL. The physician wants to start apixaban. What dose do you recommend?
A – 2.5 mg daily
B – 2.5 mg BID
C – 5 mg daily
D – 5 mg BID
E – 10 mg daily
Edoxaban should not be used in patients with atrial fibrillation if the CrCl is:
A – < 30 ml/min
B – < 50 ml/min C – > 60 ml/min
D – > 90 ml/min
E – > 96 ml/min
Which of the following is an antidote for apixaban?
A – Andexanet
B – Protamine
C – Vitamin K
D – Idarucizumab
E – None of the above
Which of the following Direct oral anticoagulants (DOACs) should be taken with food?
A – Dabigatran
B – Apixaban
C – Edoxaban
D – Rivaroxaban
E – Argatroban
Which of the following statements is true regarding Xarelto?
A – Praxbind is the antidote for Xarelto
B – 10 mg dose can be taken without food
C – Dyspepsia is the most common side effect
D – It has reduced efficacy in non valvular Afib patients with CrCl > 95mL/min
PK is a 65 year old female diagnosed with Afib. Her insurance will only cover Dabigatran for stroke prevention. What is the most appropriate dose to start her on? Her CrCl is is 20ml/min
A – 50 mg BID
B – 75 mg BID
C – 100 mg BID
D – 150 mg BID
E – Dabigatran is contraindicated if CrCl < 30 mL/min
Per the chest guidelines, what is the preferred agent in patients requiring anticoagulation therapy?
A – LMWH
B – Warfarin
C – DOACs
D – Unfractionated heparin
E – None of the above
Which of the following is the most common side effect experienced by patients taking Pradaxa?
A – Headache
B – Dyspepsia
C – Bradycardia
D – Flushing
E – Weight gain
A 67 year old male with Afib of unknown duration, is a candidate for cardioversion to store normal sinus rhythm. How long should TJ receive anticoagulation before and after cardioversion to prevent a stroke?
A – 3 weeks prior to cardioversion, 4 weeks after cardioversion
B – 3 weeks prior to cardioversion, 3 weeks after cardioversion
C – 4 weeks prior to cardioversion, 4 weeks after cardioversion
D – 4 weeks prior to cardioversion, 3 weeks after cardioversion
E – 0 weeks prior to cardioversion, 4 weeks after cardioversion
A 77 year old female with Afib that started < 48 hours ago, is a candidate for cardioversion to store normal sinus rhythm. How long should TJ receive anticoagulation before and after cardioversion to prevent a stroke?
A – 3 weeks prior to cardioversion, 4 weeks after cardioversion
B – 3 weeks prior to cardioversion, 3 weeks after cardioversion
C – 4 weeks prior to cardioversion, 4 weeks after cardioversion
D – 4 weeks prior to cardioversion, 3 weeks after cardioversion
E – 0 weeks prior to cardioversion, 4 weeks after cardioversion
Which of the following drug-dose combinations for non-valvular Afib is incorrect?
A – Apixaban 5 mg daily
B – Rivaroxaban 20mg daily
C – Edoxaban 60 mg daily
D – Dabigatran 150 mg twice daily
E – None of the above
