A 75-year-old woman has sudden right-sided weakness and expressive aphasia, onset 90 min ago. CT negative for haemorrhage. Glucose 6.5 mmol/L. BP

Question

A 75-year-old woman has sudden right-sided weakness and expressive aphasia, onset 90 min ago. CT negative for haemorrhage. Glucose 6.5 mmol/L. BP 185/100. Most appropriate next step?

Accepted Answer

Intravenous alteplase (tPA)

Answer

Oral ASA 160 mg

Answer

Lower BP to

Answer

Emergent carotid endarterectomy

Answer

MRI brain before treatment

Acute ischaemic stroke — MCCQE Part 1 MCQ

A 75-year-old woman has sudden right-sided weakness and expressive aphasia, onset 90 min ago. CT negative for haemorrhage. Glucose 6.5 mmol/L. BP 185/100. Most appropriate next step?