1
Q
Define
A
Risk of stroke after TIA
2
Q
A
A
Age 60 or over
3
Q
B
A
BP - 140/90 or over
4
Q
C
A
Clinical features:
- Unilateral weakness = 2 points
- Speech disturbance without weakness = 1
5
Q
D
A
Duration:
60 mins or over = 2
10-60 mins = 1
6
Q
D2
A
Diabetes
7
Q
What else should you enquire about
A
AF
Have you had any other TIA’s, how far apart were they?
8
Q
TIA treatment
A
Lifestyle advice - Diet, Exercise more and smoking cessation
9
Q
Antithrombotic treatment
A
300mg aspirin immediately then continued long term 75mg OD
Clopidogrel - 75mg
10
Q
Secondary prevention
A
Adherence to meds
Control HTN
Statin
11
Q
Procedure
A
Carotid endarterectomy if ICA stenosis is >70%
2b OSCE Sam Harper
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