Question

A 68-year-old man presents with sudden-onset left-sided weakness and dysarthria 1 hour ago. CT brain shows no haemorrhage. His NIH Stroke Scale score is 10. BP is 160/95 mmHg, and he takes no anticoagulants. What is the MOST appropriate next step in management?

Accepted Answer

Administer intravenous thrombolysis with alteplase after standard eligibility checks

Answer

Start aspirin 300 mg orally and admit to stroke unit only

Answer

Arrange urgent carotid Doppler ultrasound before any thrombolysis decision

Answer

Delay treatment until MRI brain confirms infarct

Answer

Give prophylactic low molecular weight heparin and observe

Practice question

A 68-year-old man presents with sudden-onset left-sided weakness and dysarthria 1 hour ago. CT brain shows no haemorrhage. His NIH Stroke Scale score is 10. BP is 160/95 mmHg, and he takes no anticoagulants. What is the MOST appropriate next step in management?