Nonvalvular Atrial Fibrillation Is in Medicine / Internal Medicine — 72yo Man | Cardiology | SMLE Q#18822

SMLE Question #18822

Medicine / Internal Medicine Cardiology

Objective: OBJ-IM-CARD-ANTICOAG-001

Last updated: March 2026
A 72-year-old man with nonvalvular atrial fibrillation is on chronic warfarin for stroke prevention. One week ago, he began an over-the-counter herbal supplement. He reports no epistaxis, gum bleeding, melaena, or haematuria, and his warfarin dose has been unchanged. He is clinically stable. What is the most appropriate next step in management?

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