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High-risk TIA with carotid stenosis — RCPSC EM MCQ

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HardNeurological emergenciesHigh-risk TIA with carotid stenosisRCPSC EM

A 69-year-old has a 12-minute episode of right arm weakness and expressive aphasia that resolved before arrival. BP is 168/92, ECG shows atrial fibrillation, CT head is negative, and CTA shows 80% left carotid stenosis. What is the most appropriate disposition?

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Correct answer: C — Admit or arrange urgent stroke-unit pathway for expedited vascular and antithrombotic management

High-risk TIA with atrial fibrillation and severe ipsilateral carotid stenosis requires urgent stroke pathway management, not routine discharge.

Reference: Canadian Stroke Best Practice Recommendations