67-year-old Man in Medicine / Internal Medicine — 67yo Man | Neurology | SMLE Q#14336

SMLE Question #14336

Medicine / Internal Medicine Neurology

Objective: OBJ-307

Last updated: February 2026
A 67-year-old man presents to the emergency department after sudden, transient loss of vision in his right eye described as a curtain coming down. The episode lasted about 3 minutes and completely resolved. He denies eye pain, headache, jaw claudication, or focal weakness. He has long-standing hypertension, hyperlipidaemia, and coronary artery disease. Ophthalmologic examination between episodes is normal. Brain MRI shows no acute infarct. Which of the following is the most likely diagnosis?

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