TIA Quis

A 63 year old man presents to ED following a thirty minute episode of slurred speech and left arm weakness. His symptoms have now completely resolved. What is the most likely diagnosis?

• Seizure

• Carotid Artery Dissection

• Stroke

• TIA

Which artery is most likely to be involved in giving these symptoms?

• Left ACA

• Right ACA

• Left MCA

• Right MCA

• Left verterbral

Which cluster of symptoms are most characteristic of a TIA affecting the posterior circulation?

• Slurred speech, leg weakness and amaurosis fugax

• Vertigo, diplopia and motor or sensory deficits

• Vertigo, monocular blindness and arm weakness

• Diplopia, ear pain and bilateral arm weakness

Following an episode of TIA, what is the probability of stroke over the next 7 days?

• 5/10,000

• 5/1,000

• 5/100

• 5/10

Which of thee risk factors are most significant in TIA?

• Hypertension

• Obesity

• Inactivity

• Current infection

Which of these features are most associated with TIA?

• Loss of conciousness

• Ongoing neurology at time of review

• Staggered onset of symptoms

• 'Loss of function' symptoms

Which of the investigations below is most important to do in ED for these patients?

• CT head

• Lactate

• ECG

• CXR to assess for infection

What treatment should be started in ED for suspected TIA?

• Aspirin 300mg

• pLMWH dosed by weight

• Clopidogrel 150mg

• Levetiracetam 60mg/kg

How should these patients be followed up?

• Admission under medics for TIA specialist nurse review

• GP with modification of risk factors

• TIA clinic in next 48 hours

• No follow-up required, safety-netting only

How do we refer to TIA clinic?