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Transient ischemic attack — RCPSC IM MCQ

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EasyNeurologyTransient ischemic attackRCPSC IM

A 58-year-old man has transient right arm weakness and aphasia lasting 20 minutes. Symptoms resolved before arrival. ECG shows sinus rhythm, CT head shows no haemorrhage, and carotid bruit is present. He is within 12 hours of onset. What is the most appropriate investigation?

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Correct answer: C — Urgent vascular imaging of the head and neck

TIA is a medical emergency. Urgent vascular imaging identifies carotid stenosis or intracranial disease that may require rapid intervention.

Reference: Canadian Stroke Best Practices