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Minor Stroke – DAPT — SCE Neurology MCQ

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EasyCerebrovascular DiseaseMinor Stroke – DAPTSCE Neurology

A 72-year-old woman on aspirin presents with minor ischaemic stroke (NIHSS 3), outside the thrombolysis window, no AF. What dual antiplatelet regimen is recommended?

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Correct answer: A — Aspirin 75 mg and clopidogrel 75 mg for 21 days, then clopidogrel monotherapy

For minor ischaemic stroke (NIHSS ≤3) or high-risk TIA, NICE NG128 recommends DAPT with aspirin and clopidogrel for 21 days (CHANCE/POINT trials), then clopidogrel monotherapy. B: Dipyridamole combination is no longer first-line. C: Ticagrelor is not recommended by NICE. D: Warfarin is for AF-related stroke. E: Aspirin monotherapy is inferior.

Reference: NICE NG128 (2019); CHANCE/POINT Trials