A 65-year-old patient with diabetes presents with a TIA. According to the ABCD2 score that assesses stroke risk in someone with TIA, which of the following is not used as a predictor of occurrence of a stroke
ExplanationD. Hyperlipidemia is not a part of the ABCD2 scoring system. Identification of risk factors that predict stroke after TIA is important in the assessment of patients presenting with TIA. The ABCD2 score provides an evaluation of this risk. Points are given for the following risk factors: Age of 60 years or more (1 point); Blood pressure of 140/90 mm Hg or greater (1 point); Clinical symptoms (1 point for speech impairment without weakness and 2 points for focal weakness); Duration of symptoms (1 point for 10 to 59 minutes and 2 points for 60 minutes or more); Diabetes (1 point). The 2-day risk of stroke is 0% for scores of 0 to 1, 1.3% for scores of 2 to 3, 4.1% for scores of 4 to 5, and 8.1% for scores of 6 to 7