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Minor Ischemic Stroke/TIA — SCE Neurology MCQ

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ModerateNeurologyMinor Ischemic Stroke/TIASCE Neurology

A 67-year-old with a minor noncardioembolic ischemic stroke (NIHSS 2) presents 8 hours after onset; CT shows no hemorrhage. Which antiplatelet plan best reduces early recurrence risk?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Aspirin plus clopidogrel for 21 days, then continue single antiplatelet therapy

Explanation lettering: E = shown as A · A = shown as C · C = shown as E

Short-course dual antiplatelet therapy (aspirin plus clopidogrel) for 21 days after minor stroke/TIA reduces early recurrence; continue single antiplatelet thereafter. Aspirin alone (A) or clopidogrel alone (B) is less effective acutely. Longer DAPT durations (D, E) increase bleeding without added benefit in typical minor stroke/TIA.

Reference: https://www.nice.org.uk/guidance/conditions-and-diseases/neurological-conditions