Neurology Shelf Practice Questions - NBME Clinical Science Subject Exam Clinical Neurology Exam

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A 69-year-old man has 12 minutes of right hand weakness and difficulty speaking that resolves before arrival. MRI shows no infarct. Carotid duplex shows 82% stenosis of the left internal carotid artery. What intervention most reduces future stroke risk?

Left carotid endarterectomy within the next 2 weeks Long-term warfarin without further evaluation Right carotid endarterectomy Reassurance because symptoms resolved

Correct Answer:

Left carotid endarterectomy within the next 2 weeks

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