Question

A 72-year-old man presents 2 hours after sudden right-sided weakness and aphasia. CT head shows no haemorrhage. BP is 170/95 mmHg, glucose normal, no anticoagulant use. What is the most appropriate immediate treatment?

Accepted Answer

Alteplase (IV thrombolysis) within the treatment window

Answer

Aspirin 300 mg immediately

Answer

Clopidogrel 300 mg loading

Answer

Urgent carotid endarterectomy

Answer

Aggressive BP reduction to <140 mmHg with IV labetalol

Practice question

A 72-year-old man presents 2 hours after sudden right-sided weakness and aphasia. CT head shows no haemorrhage. BP is 170/95 mmHg, glucose normal, no anticoagulant use. What is the most appropriate immediate treatment?