A 70-year-old has transient right-arm weakness and aphasia that resolves in 20 minutes. CT excludes haemorrhage; he is in sinus rhythm and has no

Question

A 70-year-old has transient right-arm weakness and aphasia that resolves in 20 minutes. CT excludes haemorrhage; he is in sinus rhythm and has no contraindication to aspirin. ABCD2 score is 2. What is the most appropriate referral plan?

Accepted Answer

Immediate referral for specialist TIA assessment to be seen within 24 hours

Answer

Routine outpatient referral within seven days because ABCD2 score is below four

Answer

No referral unless a second event occurs because the symptoms resolved

Answer

Use ABCD2 score alone to determine that MRI is unnecessary

Answer

Referral after carotid ultrasound arranged by primary care next month

TIA – Urgent Assessment — SCE Neurology MCQ

A 70-year-old has transient right-arm weakness and aphasia that resolves in 20 minutes. CT excludes haemorrhage; he is in sinus rhythm and has no contraindication to aspirin. ABCD2 score is 2. What is the most appropriate referral plan?