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Functional decline — RCPSC IM MCQ

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HardGeneral IM, Ethics, CanMEDSFunctional declineRCPSC IM

A patient had two 12-minute episodes of aphasia today; examination is normal. CTA shows 70% symptomatic ipsilateral internal-carotid stenosis. What is the most appropriate disposition?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Arrange urgent stroke-team assessment and revascularization evaluation

Explanation lettering: B = shown as A · D = shown as B · A = shown as C · E = shown as D · C = shown as E

B is correct: recurrent high-risk TIA with symptomatic carotid disease needs urgent specialist assessment. C has no established indication. D misdirects the work-up. E delays an intervention window. A underestimates early stroke risk.

Reference: Canadian Stroke Best Practices, triage and initial diagnostic evaluation of TIA: https://www.strokebestpractices.ca/recommendations/acute-stroke-management/triage-and-initial-diagnostic-evaluation-of-transient-ischemic-attack-and-non-disabling-stroke