USMLE Step 3 Quiz
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CARDIOVASCULAR
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A 72-year-old woman with a history of coronary artery disease (CAD), hypertension, and type 2 diabetes mellitus presents for routine follow-up. Her CAD was managed with a percutaneous coronary intervention (PCI) with a drug-eluting stent to the right coronary artery 18 months ago. She is asymptomatic from a cardiac standpoint. Her medications include aspirin, clopidogrel, rosuvastatin, metformin, and lisinopril. Today, she is diagnosed with new-onset nonvalvular atrial fibrillation. Her heart rate is 88/min and blood pressure is 134/82 mm Hg. Her CHA₂DS₂-VASc score is calculated to be 6.
Which of the following is the most appropriate long-term management plan for this patient's antithrombotic therapy?
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