A 64-year-old man presents with a 20-minute episode of left arm weakness and slurred speech that resolved completely before arrival. He has hypertensi...

Question

A 64-year-old man presents with a 20-minute episode of left arm weakness and slurred speech that resolved completely before arrival. He has hypertension and hyperlipidaemia. CT brain is normal. What is the most appropriate immediate pharmacological management in the emergency department?

Accepted Answer

Start aspirin 300 mg daily and arrange urgent TIA clinic follow-up

Answer

Commence warfarin immediately

Answer

No treatment is required as symptoms have resolved

Answer

Start dual antiplatelet therapy with aspirin and clopidogrel for 3 months

Answer

Start high-dose statin but delay antiplatelet until MRI is available

au-amc MCQ (SBA): Transient ischaemic attack

A 64-year-old man presents with a 20-minute episode of left arm weakness and slurred speech that resolved completely before arrival. He has hypertension and hyperlipidaemia. CT brain is normal. What is the most appropriate immediate pharmacological management in the emergency department?