A 63-year-old man with hypertension and hyperlipidaemia presents with sudden-onset right arm weakness and expressive dysphasia that resolved within 20...

Question

A 63-year-old man with hypertension and hyperlipidaemia presents with sudden-onset right arm weakness and expressive dysphasia that resolved within 20 minutes. CT brain is normal. Carotid ultrasound shows 60% stenosis of the left internal carotid artery. What is the most appropriate immediate pharmacological management?

Accepted Answer

Aspirin plus high-intensity statin

Answer

No treatment is required as symptoms have resolved

Answer

Warfarin anticoagulation

Answer

Dual antiplatelet therapy with aspirin and clopidogrel for 12 months

Answer

Thrombolysis with IV alteplase

au-amc MCQ (SBA): Transient ischaemic attack