A 64-year-old man develops sudden left arm weakness and dysarthria that fully resolve within 20 minutes. He presents to his GP 2 hours later. CT head ...

Question

A 64-year-old man develops sudden left arm weakness and dysarthria that fully resolve within 20 minutes. He presents to his GP 2 hours later. CT head is arranged and shows no haemorrhage. What is the most appropriate immediate management in primary care?

Accepted Answer

Give aspirin 300 mg immediately and arrange urgent TIA assessment

Answer

Start clopidogrel 75 mg daily

Answer

Start apixaban 5 mg twice daily

Answer

Arrange elective carotid Doppler and review in 1 week

Answer

Start atorvastatin 80 mg nightly without antiplatelet

ukmla MCQ (SBA): Transient ischaemic attack

A 64-year-old man develops sudden left arm weakness and dysarthria that fully resolve within 20 minutes. He presents to his GP 2 hours later. CT head is arranged and shows no haemorrhage. What is the most appropriate immediate management in primary care?