Question

A 72-year-old man presents with sudden right-sided weakness and dysphasia 90 minutes after onset of symptoms. CT head shows no haemorrhage and confirms acute ischaemic stroke. Blood pressure is 160/90 mmHg, and there are no contraindications. What is the most appropriate next step?

Accepted Answer

Commence intravenous Alteplase within the 4.5-hour window

Answer

Start Aspirin 300 mg immediately

Answer

Start long-term Clopidogrel 75 mg only

Answer

Arrange routine stroke ward admission without thrombolysis

Answer

Discharge home with outpatient review

Practice question

A 72-year-old man presents with sudden right-sided weakness and dysphasia 90 minutes after onset of symptoms. CT head shows no haemorrhage and confirms acute ischaemic stroke. Blood pressure is 160/90 mmHg, and there are no contraindications. What is the most appropriate next step?