Question

A 68-year-old with suspected stroke presents with right-sided weakness and expressive aphasia that started 1 hour ago. CT scan shows no haemorrhage. What is the next step?

Accepted Answer

Start intravenous thrombolysis (alteplase)

Answer

Begin aspirin 300 mg daily

Answer

Begin subcutaneous low molecular weight heparin

Answer

Perform mechanical thrombectomy immediately

Answer

Give clopidogrel loading dose

Practice question

A 68-year-old with suspected stroke presents with right-sided weakness and expressive aphasia that started 1 hour ago. CT scan shows no haemorrhage. What is the next step?