Question

A 68-year-old man presents with sudden onset right-sided weakness and aphasia that began 90 minutes ago. CT brain shows no haemorrhage. Blood pressure is 160/90 mmHg and blood glucose 7.0 mmol/L. According to Australian stroke guidelines, what is the most appropriate next step?

Accepted Answer

Initiate intravenous thrombolysis with alteplase if no contraindications

Answer

Start aspirin 300 mg immediately

Answer

Arrange urgent MRI brain and defer any reperfusion therapy

Answer

Arrange carotid Doppler ultrasound before further treatment

Answer

Commence prophylactic low molecular weight heparin

Practice question

A 68-year-old man presents with sudden onset right-sided weakness and aphasia that began 90 minutes ago. CT brain shows no haemorrhage. Blood pressure is 160/90 mmHg and blood glucose 7.0 mmol/L. According to Australian stroke guidelines, what is the most appropriate next step?