A 65-year-old man arrives in the emergency department with sudden-onset right-sided weakness and speech difficulty for the past 2 hours. A CT scan con...

Question

A 65-year-old man arrives in the emergency department with sudden-onset right-sided weakness and speech difficulty for the past 2 hours. A CT scan confirms an ischaemic stroke. According to NICE, what is the most appropriate acute intervention if no contraindications exist?

Accepted Answer

Intravenous alteplase (thrombolysis) within 4.5 hours of symptom onset

Answer

Immediate antiplatelet therapy with aspirin 75 mg daily

Answer

Start a statin immediately

Answer

Carotid endarterectomy within 24 hours

Answer

Immediate anticoagulation with LMWH

ukmla MCQ (SBA): Ischaemic Stroke

A 65-year-old man arrives in the emergency department with sudden-onset right-sided weakness and speech difficulty for the past 2 hours. A CT scan confirms an ischaemic stroke. According to NICE, what is the most appropriate acute intervention if no contraindications exist?