A 67-year-old man presents to his GP 3 hours after transient right arm weakness and slurred speech that resolved completely within 20 minutes. Examina...

Question

A 67-year-old man presents to his GP 3 hours after transient right arm weakness and slurred speech that resolved completely within 20 minutes. Examination is normal. His blood pressure is 154/92 mmHg. What is the single most appropriate next step?

Accepted Answer

Start Aspirin and refer for specialist assessment within 24 hours

Answer

Reassure and review in 1 week

Answer

Arrange a routine outpatient neurology appointment within 6 weeks

Answer

Start a direct oral anticoagulant immediately

Answer

Admit urgently for elective carotid endarterectomy tomorrow

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

A 67-year-old man presents to his GP 3 hours after transient right arm weakness and slurred speech that resolved completely within 20 minutes. Examination is normal. His blood pressure is 154/92 mmHg. What is the single most appropriate next step?