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Acute ischemic stroke with large-vessel occlusion — RCPSC IM MCQ

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HardNeurologyAcute ischemic stroke with large-vessel occlusionRCPSC IM

A 61-year-old man presents 70 minutes after sudden right hemiparesis and aphasia. CT head shows no haemorrhage, CTA shows a proximal left M1 occlusion, glucose is 6.1 mmol/L, platelets are normal, and blood pressure is 176/94 mm Hg. He was well 90 minutes earlier and takes no anticoagulant. What is the most appropriate management?

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Correct answer: E — Intravenous thrombolysis and endovascular thrombectomy assessment

A disabling acute ischemic stroke within the thrombolysis window plus a large-vessel occlusion requires urgent reperfusion therapy, including thrombolysis if eligible and endovascular thrombectomy assessment.

Reference: Canadian Stroke Best Practices