A 66-year-old man describes sudden transient right arm weakness and expressive dysphasia lasting 20 minutes, which completely resolved. He presents 4 ...

Question

A 66-year-old man describes sudden transient right arm weakness and expressive dysphasia lasting 20 minutes, which completely resolved. He presents 4 hours after the episode. Examination is normal. What is the most appropriate immediate management in primary care?

Accepted Answer

Give Aspirin 300 mg and arrange urgent same-day TIA clinic assessment

Answer

Arrange routine neurology referral within 12 weeks

Answer

Start warfarin without further assessment

Answer

Reassure and advise to return if symptoms recur

Answer

Start long-term Clopidogrel without specialist review

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

A 66-year-old man describes sudden transient right arm weakness and expressive dysphasia lasting 20 minutes, which completely resolved. He presents 4 hours after the episode. Examination is normal. What is the most appropriate immediate management in primary care?