A 66-year-old man has a brief episode of right arm weakness and expressive dysphasia lasting 30 minutes, which fully resolves. MRI shows no acute infa...

Question

A 66-year-old man has a brief episode of right arm weakness and expressive dysphasia lasting 30 minutes, which fully resolves. MRI shows no acute infarct. Carotid ultrasound reveals 70% stenosis of the left internal carotid artery. What is the most appropriate next step in secondary prevention?

Accepted Answer

Refer urgently for carotid endarterectomy plus commence antiplatelet and statin therapy

Answer

No further action as symptoms have resolved

Answer

Start anticoagulation with warfarin

Answer

Order CT coronary angiography

Answer

Start dual antiplatelet therapy indefinitely without surgery

au-racgp MCQ (SBA): TIA secondary prevention

A 66-year-old man has a brief episode of right arm weakness and expressive dysphasia lasting 30 minutes, which fully resolves. MRI shows no acute infarct. Carotid ultrasound reveals 70% stenosis of the left internal carotid artery. What is the most appropriate next step in secondary prevention?