A 64-year-old man has a 20-minute episode of left arm weakness and slurred speech that resolves completely. He presents to his GP the same day. Neurol...

Question

A 64-year-old man has a 20-minute episode of left arm weakness and slurred speech that resolves completely. He presents to his GP the same day. Neurological examination is normal. What is the most appropriate immediate management in primary care?

Accepted Answer

Start Aspirin 300 mg daily and arrange urgent same-day specialist TIA clinic assessment

Answer

Reassure and review in 2 weeks

Answer

Start Clopidogrel and refer routinely to neurology

Answer

Arrange MRI brain without starting antiplatelet therapy

Answer

Start Warfarin immediately without further investigation

uk-plab-1 MCQ (SBA): Transient ischaemic attack

A 64-year-old man has a 20-minute episode of left arm weakness and slurred speech that resolves completely. He presents to his GP the same day. Neurological examination is normal. What is the most appropriate immediate management in primary care?