A 68-year-old man presents with sudden-onset left arm weakness and dysarthria that resolved completely within 30 minutes. CT head is normal. He has hy...

Question

A 68-year-old man presents with sudden-onset left arm weakness and dysarthria that resolved completely within 30 minutes. CT head is normal. He has hypertension and diabetes. What is the most appropriate management to reduce his short-term stroke risk?

Accepted Answer

Start dual antiplatelet therapy with acetylsalicylic acid and clopidogrel for a short course, along with urgent risk factor optimisation.

Answer

Reassure him and arrange follow-up with his family physician in one month.

Answer

Start long-term warfarin therapy immediately.

Answer

No treatment is needed because symptoms resolved.

Answer

Arrange carotid endarterectomy without any further imaging.

ca-mccqe1 MCQ (SBA): Transient ischaemic attack

A 68-year-old man presents with sudden-onset left arm weakness and dysarthria that resolved completely within 30 minutes. CT head is normal. He has hypertension and diabetes. What is the most appropriate management to reduce his short-term stroke risk?