A 58-year-old woman with a history of transient ischaemic attack (TIA) 2 months ago is reviewed in clinic. Carotid Doppler showed 40% stenosis bilater...

Question

A 58-year-old woman with a history of transient ischaemic attack (TIA) 2 months ago is reviewed in clinic. Carotid Doppler showed 40% stenosis bilaterally. She is on aspirin 100 mg daily and atorvastatin 40 mg nocte. BP averages 136/82 mmHg, HbA1c 5.8%. What is the most appropriate additional therapy to reduce her stroke risk?

Accepted Answer

Switch aspirin to clopidogrel monotherapy

Answer

Add clopidogrel to aspirin long term

Answer

Add warfarin

Answer

Commence long-term dual antiplatelet therapy with aspirin and dipyridamole

Answer

No change to current therapy

au-amc MCQ (SBA): TIA secondary prevention