Question

A 47-year-old woman presents 2 hours after onset of isolated left monocular vision loss (amaurosis fugax). ABCD2 score is 4; CT head is normal. Next step?

Accepted Answer

Start aspirin plus clopidogrel for 21 days

Answer

No antithrombotic therapy; outpatient follow-up

Answer

Start warfarin empirically

Answer

Start aspirin 81 mg monotherapy indefinitely

Answer

Start ticagrelor plus aspirin for 12 months

Practice question

A 47-year-old woman presents 2 hours after onset of isolated left monocular vision loss (amaurosis fugax). ABCD2 score is 4; CT head is normal. Next step?