Question

A 68-year-old man with a history of hypertension and type 2 diabetes presents with a 2-hour history of left-sided weakness and facial droop. A non-contrast CT head shows no evidence of haemorrhage. His blood pressure is 180/100 mmHg. What is the most appropriate next step in management?

Accepted Answer

Administer alteplase intravenously

Answer

Administer aspirin 300 mg orally

Answer

Administer clopidogrel 300 mg orally

Answer

Arrange for an urgent MRI brain with diffusion-weighted imaging

Answer

Administer intravenous labetalol to lower blood pressure

Practice question

A 68-year-old man with a history of hypertension and type 2 diabetes presents with a 2-hour history of left-sided weakness and facial droop. A non-contrast CT head shows no evidence of haemorrhage. His blood pressure is 180/100 mmHg. What is the most appropriate next step in management?