Q:

A patient had TIA (transient ishchemic attack) which he recovered from. He has a history of stroke and exam shows HR (heart rate) in sinus rhythm. He is already on aspirin 75mg and anti- ypertensive drugs. What other action should be taken?

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A patient had TIA (transient ishchemic attack) which he recovered from. He has a history of

 

stroke and exam shows HR (heart rate) in sinus rhythm. He is already on aspirin 75mg and anti-

ypertensive drugs. What other action should be taken?


  1. Add clopidogrel only
  2. Increase dose of aspirin to 300mg
  3. Add warfarin
  4. Add clopidogrel and statin
  5. Add statin only

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The key is E. Add statin only. [He who is already on aspirin needs no change in aspirin dose.

Clopidogrel is now drug of choice for secondary prevention in TIA but if someone is already on aspirin he

should continue it as same dose and should be considered to shift to clopidogrel in next few visits. So for

given case correct option is add statin only].

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