Question

A 68-year-old woman has a transient episode of left arm weakness and expressive dysphasia lasting 20 minutes, which has fully resolved on arrival to the emergency department. BP is 150/90 mmHg, ECG shows sinus rhythm. What is the most appropriate next step?

Accepted Answer

Start Aspirin 300 mg daily and arrange urgent assessment in a TIA clinic within 24 hours

Answer

Discharge with reassurance and routine GP follow-up

Answer

Arrange carotid endarterectomy the same day

Answer

Start long-term Warfarin immediately

Answer

No antiplatelet therapy needed once symptoms resolve

Practice question

A 68-year-old woman has a transient episode of left arm weakness and expressive dysphasia lasting 20 minutes, which has fully resolved on arrival to the emergency department. BP is 150/90 mmHg, ECG shows sinus rhythm. What is the most appropriate next step?