A 72-year-old man presents with sudden onset right-sided weakness and aphasia 90 minutes ago. CT head shows no haemorrhage. Blood pressure is 168/96 m...

Question

A 72-year-old man presents with sudden onset right-sided weakness and aphasia 90 minutes ago. CT head shows no haemorrhage. Blood pressure is 168/96 mm Hg and capillary glucose is 7.2 mmol/L. There are no contraindications to thrombolysis. What is the most appropriate management?

Accepted Answer

Administer intravenous thrombolysis with alteplase now

Answer

Withhold thrombolysis and start acetylsalicylic acid only

Answer

Delay thrombolysis until MRI confirms infarct

Answer

Wait 6 hours to see if symptoms improve

Answer

Arrange outpatient neurology follow-up

ca-mccqe1 MCQ (SBA): Acute ischaemic stroke

A 72-year-old man presents with sudden onset right-sided weakness and aphasia 90 minutes ago. CT head shows no haemorrhage. Blood pressure is 168/96 mm Hg and capillary glucose is 7.2 mmol/L. There are no contraindications to thrombolysis. What is the most appropriate management?