A 62-year-old woman with long-standing hypertension and hyperlipidaemia presents with sudden right-sided weakness and dysphasia that resolved complete...

Question

A 62-year-old woman with long-standing hypertension and hyperlipidaemia presents with sudden right-sided weakness and dysphasia that resolved completely within 30 minutes. CT brain is normal. She is already on an ACE inhibitor and statin. What is the most appropriate next step in secondary prevention?

Accepted Answer

Add low-dose aspirin and arrange urgent carotid imaging

Answer

Increase ACE inhibitor dose only

Answer

Start dual antiplatelet therapy with aspirin and clopidogrel for 12 months

Answer

Switch statin to ezetimibe monotherapy

Answer

Arrange repeat CT brain in 6 months with no change to treatment

au-amc MCQ (SBA): Transient ischaemic attack secondary prevention