MCQ – 89166

Question

 A 65-year-old female is being discharged from the hospital after an admission for a new-onset stroke. The patient was treated with intravenous alteplase over 1 week ago. She has a past medical history of COPD, hypertension, diabetes, and atrial fibrillation. The patient’s weight is 86 kg, her creatinine clearance is 56 mL/min, ALT 19 U/L, AST 29 U/L, and albumin is 4 gm/dL. Which of the following is the appropriate long-term anticoagulation for this patient?

A.  Warfarin with heparin bridging with goal INR 2-3

B.

Apixaban 5 mg twice daily with enoxaparin bridge

C.

Apixaban 5 mg twice daily

D.

Enoxaparin 80 mg twice daily

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