Sudden Episode Of Slurred in Medicine / Internal Medicine — 66yo Man | Cardiology | SMLE Q#17453
SMLE Question #17453
Medicine / Internal Medicine
Cardiology
Objective: OBJ-392
Last updated: February 2026
A 66-year-old man presents with a sudden episode of slurred speech and word-finding difficulty lasting 30 minutes that fully resolved before arrival. He has hypertension, type 2 diabetes, and a smoking history. Neurologic examination is normal. Noncontrast CT brain shows no acute hemorrhage. Carotid duplex ultrasound shows 48% stenosis of the ipsilateral internal carotid artery. In addition to aggressive risk-factor control, what is the most appropriate next step in management?
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