A 72-year-old man experiences a 15-minute episode of left arm weakness and slurred speech that completely resolves before he arrives at the emergency ...

Question

A 72-year-old man experiences a 15-minute episode of left arm weakness and slurred speech that completely resolves before he arrives at the emergency department 45 minutes later. Examination and CT brain are normal. According to UK guidance, what is the most appropriate next step?

Accepted Answer

Start aspirin 300 mg and arrange specialist TIA clinic assessment within 24 hours

Answer

Discharge with GP review in 2 weeks

Answer

Start warfarin immediately without further assessment

Answer

Reassure the patient that no treatment is needed as symptoms resolved

Answer

Arrange elective MRI brain in 6 months with no treatment

uk-plab-1 MCQ (SBA): Transient ischaemic attack

A 72-year-old man experiences a 15-minute episode of left arm weakness and slurred speech that completely resolves before he arrives at the emergency department 45 minutes later. Examination and CT brain are normal. According to UK guidance, what is the most appropriate next step?