Question

A 36-year-old woman arrives at the emergency department 45 minutes after sudden onset of right-sided weakness and aphasia. CT head is normal. Blood pressure is 170/95 mm Hg and blood glucose 6.2 mmol/L. What is the most appropriate next step in management?

Accepted Answer

Administer intravenous alteplase after confirming eligibility

Answer

Arrange outpatient neurology follow-up and start acetylsalicylic acid

Answer

Start high-dose statin and admit to stroke unit without thrombolysis

Answer

Give low molecular weight heparin for presumed cardioembolic stroke

Answer

Delay treatment until MRI confirms infarction

Practice question

A 36-year-old woman arrives at the emergency department 45 minutes after sudden onset of right-sided weakness and aphasia. CT head is normal. Blood pressure is 170/95 mm Hg and blood glucose 6.2 mmol/L. What is the most appropriate next step in management?