A 68-year-old man with hypertension and atrial fibrillation develops sudden right-sided weakness and aphasia that began 45 minutes ago. CT scan of the...

Question

A 68-year-old man with hypertension and atrial fibrillation develops sudden right-sided weakness and aphasia that began 45 minutes ago. CT scan of the head shows no hemorrhage. Blood pressure is 178/96 mm Hg, and glucose is 110 mg per dL. What is the most appropriate next step in management?

Accepted Answer

Start therapeutic heparin infusion

Answer

Administer intravenous alteplase

Answer

Administer aspirin only

Answer

Schedule carotid endarterectomy

Answer

Obtain MRI brain before treatment

us-abem MCQ (SBA): Acute Ischemic Stroke

A 68-year-old man with hypertension and atrial fibrillation develops sudden right-sided weakness and aphasia that began 45 minutes ago. CT scan of the head shows no hemorrhage. Blood pressure is 178/96 mm Hg, and glucose is 110 mg per dL. What is the most appropriate next step in management?