Question

A 72-year-old man presents to the GP with a transient episode of right arm weakness and expressive dysphasia lasting 20 minutes, fully resolved on arrival. BP is 158/92 mmHg. There are no focal neurological deficits now. What is the most appropriate immediate management in primary care?

Accepted Answer

Give aspirin 300 mg immediately and arrange same-day TIA clinic assessment

Answer

Start clopidogrel 75 mg daily and refer routine neurology

Answer

Arrange non-urgent MRI brain and review in 2 weeks

Answer

Offer apixaban empirically and refer within 1 week

Answer

Begin high-intensity statin and review in 48 hours

Practice question

A 72-year-old man presents to the GP with a transient episode of right arm weakness and expressive dysphasia lasting 20 minutes, fully resolved on arrival. BP is 158/92 mmHg. There are no focal neurological deficits now. What is the most appropriate immediate management in primary care?