Carotid artery stenosis screening Quiz: Ace Your Exams
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A 72-year-old woman presents to her primary care physician’s office with concerns about her stroke risk because her older sister had a stroke last month. She feels well without neurologic or cardiac symptoms. She had coronary artery bypass grafting after a myocardial infarction 3 years ago. She takes lovastatin and aspirin. She exercises regularly. She does not drink alcohol or smoke cigarettes. Temperature is 36.4 °C (97.5 °F), pulse is 75/min, blood pressure is 125/72 mmHg, and respirations are 14/min. Carotid artery upstroke is normal bilaterally. Cardiopulmonary examination is normal. Abdominal examination is normal. Cholesterol levels are at target. There is no peripheral edema. Carotid duplex ultrasound shows 60% stenosis of the right carotid artery with no ulcerations. There is no stenosis in the left carotid artery. Which of the following is the best next step in management?
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