A 68-year-old man presents with sudden onset right-sided weakness and expressive dysphasia 1 hour ago. CT head shows no haemorrhage. He is independent...

Question

A 68-year-old man presents with sudden onset right-sided weakness and expressive dysphasia 1 hour ago. CT head shows no haemorrhage. He is independent at baseline and has no contraindications to thrombolysis. What is the most appropriate next step?

Accepted Answer

Offer intravenous Thrombolysis with Alteplase after discussing risks and benefits

Answer

Start Aspirin 300 mg orally immediately

Answer

Start Clopidogrel 75 mg orally immediately

Answer

Arrange carotid endarterectomy before any medical treatment

Answer

Withhold treatment until an MRI brain is performed

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

A 68-year-old man presents with sudden onset right-sided weakness and expressive dysphasia 1 hour ago. CT head shows no haemorrhage. He is independent at baseline and has no contraindications to thrombolysis. What is the most appropriate next step?