Q:

A 75 year old man on digoxin develops weakness in the right upper and lower limbs which resolves within a few hours. What is the most definitive investigation for this condition?

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A 75 year old man on digoxin develops weakness in the right upper and lower limbs which

resolves within a few hours. What is the most definitive investigation for this condition?


  1. Carotid Doppler
  2. Angiography
  3. CT head
  4. Digoxin level

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The key is C. CT head. [Patient on digoxin means he is being treated for atrial fibrillation with heart

failure and the cause of TIA is cardiac in origine! So carotid dopplar or carotid angiography is not the

answer. Again for TIA investigation of choice is MRI (if not available CT) NICE guideline. So for this

question definitive investigation is CT scan].

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