A 65-year-old woman with a history of TIA presents with new-onset right-sided weakness and slurred speech 40 minutes ago. On arrival, her symptoms hav...

Question

A 65-year-old woman with a history of TIA presents with new-onset right-sided weakness and slurred speech 40 minutes ago. On arrival, her symptoms have completely resolved. CT brain is normal. What is the MOST appropriate next step?

Accepted Answer

Admit for urgent stroke risk stratification and secondary prevention including antiplatelet and risk factor control

Answer

Discharge with reassurance and no further workup

Answer

Start warfarin empirically for presumed cardioembolic source

Answer

Delay antiplatelet therapy until MRI is available

Answer

Give thrombolysis because onset was within 4.5 hours

au-racp MCQ (SBA): Transient ischaemic attack

A 65-year-old woman with a history of TIA presents with new-onset right-sided weakness and slurred speech 40 minutes ago. On arrival, her symptoms have completely resolved. CT brain is normal. What is the MOST appropriate next step?