A 55-year-old man presents with sudden onset right-sided weakness and dysphasia that started 1 hour ago. He has no history of anticoagulant use. CT br...

Question

A 55-year-old man presents with sudden onset right-sided weakness and dysphasia that started 1 hour ago. He has no history of anticoagulant use. CT brain shows no haemorrhage. What is the most appropriate management?

Accepted Answer

Immediate intravenous thrombolysis with alteplase after exclusion of contraindications

Answer

Start aspirin alone and arrange physiotherapy

Answer

Arrange MRI brain and delay treatment for 24 hours

Answer

Discharge home with safety-netting

Answer

Start high-dose steroids

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

A 55-year-old man presents with sudden onset right-sided weakness and dysphasia that started 1 hour ago. He has no history of anticoagulant use. CT brain shows no haemorrhage. What is the most appropriate management?