A 60-year-old presents with transient episodes of left-sided weakness and slurred speech lasting about 15 minutes, resolving spontaneously. Carotid Do...

Question

A 60-year-old presents with transient episodes of left-sided weakness and slurred speech lasting about 15 minutes, resolving spontaneously. Carotid Doppler reveals a 70% stenosis in the right internal carotid artery. What is the most appropriate next step to prevent stroke?

Accepted Answer

Carotid endarterectomy evaluation

Answer

Start high-intensity statin and antiplatelet therapy only

Answer

Immediate MRI of the brain

Answer

Prescribe anticoagulation (warfarin)

Answer

CT angiography to confirm the stenosis

ukmla MCQ (SBA): Neurology

A 60-year-old presents with transient episodes of left-sided weakness and slurred speech lasting about 15 minutes, resolving spontaneously. Carotid Doppler reveals a 70% stenosis in the right internal carotid artery. What is the most appropriate next step to prevent stroke?