A 68-year-old man with well-controlled hypertension has a brief episode of left arm weakness and slurred speech lasting 20 minutes, now fully resolved...

Question

A 68-year-old man with well-controlled hypertension has a brief episode of left arm weakness and slurred speech lasting 20 minutes, now fully resolved. Neurological examination is normal. Which is the most appropriate next step in management?

Accepted Answer

Start Aspirin and refer urgently to a stroke or TIA clinic within 24-48 hours

Answer

Reassure and arrange routine outpatient neurology follow-up

Answer

Start Warfarin immediately without further work-up

Answer

Order brain MRI in 6 months

Answer

No antiplatelet therapy because symptoms resolved

ca-mccqe1 MCQ (SBA): Transient ischaemic attack management

A 68-year-old man with well-controlled hypertension has a brief episode of left arm weakness and slurred speech lasting 20 minutes, now fully resolved. Neurological examination is normal. Which is the most appropriate next step in management?