A 68-year-old woman has a confirmed acute ischaemic stroke and presents to the emergency department within 2 hours of symptom onset. Blood pressure is...

Question

A 68-year-old woman has a confirmed acute ischaemic stroke and presents to the emergency department within 2 hours of symptom onset. Blood pressure is 180/100 mmHg, and her CT scan shows no haemorrhage. Which immediate treatment is most appropriate?

Accepted Answer

B. Thrombolysis with IV alteplase

Answer

A. Aspirin 300 mg orally

Answer

C. Emergency carotid endarterectomy

Answer

D. Dual antiplatelet therapy (aspirin plus clopidogrel)

Answer

E. Lower blood pressure to below 140/90 mmHg before any intervention

ukmla MCQ (SBA): Ischaemic Stroke

A 68-year-old woman has a confirmed acute ischaemic stroke and presents to the emergency department within 2 hours of symptom onset. Blood pressure is 180/100 mmHg, and her CT scan shows no haemorrhage. Which immediate treatment is most appropriate?