Question

A 73-year-old has sudden onset slurred speech, right-sided weakness, and facial droop, starting 1 hour ago. Blood glucose is 5.2 mmol/L, BP is 160/95 mmHg. After non-contrast CT excludes haemorrhage, what is the best immediate step?

Accepted Answer

B. Thrombolysis with IV alteplase

Answer

A. Start aspirin 300 mg immediately

Answer

C. Lower BP to 130/80 mmHg promptly

Answer

D. MRI scan of the brain

Answer

E. Start clopidogrel 75 mg immediately

Practice question

A 73-year-old has sudden onset slurred speech, right-sided weakness, and facial droop, starting 1 hour ago. Blood glucose is 5.2 mmol/L, BP is 160/95 mmHg. After non-contrast CT excludes haemorrhage, what is the best immediate step?