Atrial fibrillation: symptoms, diagnosis and management
You must score at least 70% in this module to pass. Ensure you have read ‘Atrial fibrillation: symptoms, diagnosis and management’ before attempting to complete the module.
This module can be taken up to three times. Once you have passed, you can view the correct answers and download a certificate as a record of your learning.
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Which of the following is the most accurate description of a typical AF?CorrectIncorrect
Which of the following is a possible complication of untreated AF?CorrectIncorrect
You are a pharmacist independent prescriber running a clinic at a walk-in centre. After pulse palpation, you suspect one of the patients presenting at your clinic might be suffering from undiagnosed AF. Which of the following symptoms is the most likely to be associated with AF?CorrectIncorrect
A 56-year-old woman has been suffering from AF for the past two years, and following a discussion with the cardiologist, has agreed to undergo electrical cardioversion to restore her SR. Which of the following patterns of AF is most likely to be listed in her medical records?CorrectIncorrect
During a ward round, a man with known AF asks for information on the factors that might have predisposed him to developing the condition. Which of the following would be the most appropriate to include in the answer?CorrectIncorrect
Which of the following elements of an ECG trace is the most likely to be associated with AF?CorrectIncorrect
After undertaking pulse palpation, a community nurse suspects that one of her patients may be suffering from an undiagnosed AF. Which of the following investigations is the most appropriate for a typical patient who has a suspected AF?CorrectIncorrect
A 12-lead ECG confirms that a patient has new-onset AF. Which of the following investigations should be requested once the diagnosis is confirmed to rule out any possible underlying comorbidities and risk factors?CorrectIncorrect
A 67-year-old woman with a past medical history of chronic obstructive pulmonary disease and hypertension, visits a community pharmacy and is discovered to have a suspected AF on an opportunistic single-lead ECG recording. Which of the following best describes the woman’s CHA2DS2-VASc score and the need for OAC therapy?CorrectIncorrect
A 73-year-old man has a past medical history of myocardial infarction (in 1986) for which he takes aspirin 75mg once daily long-term. His Hb is 133g/L, whereas his eGFR is 49mL/min/1.73 m2. What is his ORBIT score and what would be the most appropriate action with regards to OAC therapy for stroke prevention?CorrectIncorrect
A patient with a new diagnosis of AF has been started on apixaban and attends a community pharmacy for a new medicines service appointment. During the appointment, she asks about the possible clinical benefits of her OAC therapy compared with warfarin. Which of the following should be explained to her?CorrectIncorrect
Which of the following situations would lead to a patient being considered for pharmacological rhythm control?CorrectIncorrect
What is the most appropriate pharmacological rate control for an 84-year-old woman with permanent AF who is housebound and suffers from type 2 diabetes mellitus according to the NICE guidelines?CorrectIncorrect
A 67-year-old woman who takes bisoprolol and edoxaban, is scheduled to attend her first annual AF review at a general practice clinic. Which of the following biochemical test results should be requested in preparation for her visit?CorrectIncorrect
An 81-year-old man with a history of AF and a mechanical prosthetic mitral valve attends his routine INR appointment for warfarin therapy. During the consultation it is found that his TTR is 60% and that he has had two subtherapeutic INR values in the last six months. Which of the following is the most appropriate action?CorrectIncorrect