You will need to use MFC libraries for Visual Studio or use raw Win32/64 SDK API, DirectX (don't remember if this is enabled by default, may be you need SDK)
You can also install external libraries like OpenGL, SDL2, Qt , GTK+ etc.
CLR is for .NET
Martin Taylor
I have mentioned in my reply to use either MFC or raw win32/64 API.
Of course it is good to know Win32/64 API but for most of the time MFC would suffice,
