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Carotid Disease (antiplatelet) — SCE Neurology MCQ

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ModerateNeurologyCarotid Disease (antiplatelet)SCE Neurology

A 63-year-old with prior TIA and carotid stenosis 70% ipsilateral is asymptomatic for 2 years on best medical therapy. What antiplatelet regimen is recommended long-term?

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Correct answer: B — Single antiplatelet agent (e.g., aspirin)

Long-term single antiplatelet therapy is recommended; prolonged DAPT is not advised without stenting. Anticoagulation is not indicated absent AF or other cause.

Reference: AHA/ASA Guideline (2021): Secondary Prevention of Stroke