A 72-year-old woman presents with sudden onset left-sided weakness and dysarthria 90 minutes ago. CT head shows no haemorrhage. She has no contraindic...

Question

A 72-year-old woman presents with sudden onset left-sided weakness and dysarthria 90 minutes ago. CT head shows no haemorrhage. She has no contraindications to thrombolysis. According to Canadian Stroke Best Practices, what is the most appropriate intervention?

Accepted Answer

Administer intravenous alteplase immediately

Answer

Defer thrombolysis and start aspirin 81 mg only

Answer

Wait for MRI before deciding on thrombolysis

Answer

Start dual antiplatelet therapy without thrombolysis

Answer

Admit for observation without reperfusion therapy

ca-mccqe1 MCQ (SBA): Acute ischaemic stroke thrombolysis

A 72-year-old woman presents with sudden onset left-sided weakness and dysarthria 90 minutes ago. CT head shows no haemorrhage. She has no contraindications to thrombolysis. According to Canadian Stroke Best Practices, what is the most appropriate intervention?