Case Steven Q12: What is the appropriate secondary prophylaxis for this patient after an acute ischemic stroke?

Correct Answers: B. Aspirin C. Statins D. Antihypertensive medications Explanation: Appropriate Secondary Prophylaxis: Aspirin: Aspirin is commonly used as secondary prophylaxis after an acute ischemic stroke to prevent further thrombotic events. It works by inhibiting platelet aggregation, reducing the risk of recurrent stroke. Statins: Statins are recommended for secondary prevention after stroke due to their lipid-lowering effects, which help stabilize atherosclerotic plaques and reduce the risk of subsequent cardiovascular events. Antihypertensive Medications: Managing high blood pressure is crucial for stroke prevention. Antihypertensive medications help control blood pressure, which is a significant risk factor for recurrent stroke. Not Appropriate for Immediate Secondary Prophylaxis: Oral Anticoagulants: While oral anticoagulants may be indicated for patients with certain types of stroke, such as those caused by atrial fibrillation, they are not typically used for all ischemic stroke patients unless specific conditions warrant their use. In the case of this patient, aspirin, statins, and antihypertensive medications are standard secondary prophylaxis measures unless further investigation indicates a need for anticoagulation therapy. These measures are part of a comprehensive approach to reduce the risk of recurrent stroke and improve long-term outcomes.