A 74-year-old right-handed man presents with sudden-onset left-sided weakness and slurred speech that began 45 minutes ago. CT head shows no haemorrha...

Question

A 74-year-old right-handed man presents with sudden-onset left-sided weakness and slurred speech that began 45 minutes ago. CT head shows no haemorrhage. Blood pressure is 165/95 mmHg. What is the most appropriate immediate treatment?

Accepted Answer

Give intravenous thrombolysis with Alteplase after appropriate checks

Answer

Start aspirin 300 mg orally

Answer

Arrange CT angiography only and review tomorrow

Answer

Start long-term anticoagulation immediately

Answer

Start high-dose statin only

uk-plab-1 MCQ (SBA): Acute ischaemic stroke – thrombolysis window

A 74-year-old right-handed man presents with sudden-onset left-sided weakness and slurred speech that began 45 minutes ago. CT head shows no haemorrhage. Blood pressure is 165/95 mmHg. What is the most appropriate immediate treatment?