A 64-year-old woman develops sudden right-sided weakness and aphasia 90 minutes ago. CT head shows no haemorrhage. Blood pressure is 165/95 mmHg and g...

Question

A 64-year-old woman develops sudden right-sided weakness and aphasia 90 minutes ago. CT head shows no haemorrhage. Blood pressure is 165/95 mmHg and glucose is 7.0 mmol/L. There are no contraindications to thrombolysis. What is the most appropriate management?

Accepted Answer

Intravenous thrombolysis with alteplase

Answer

Aspirin 160 mg orally only

Answer

Delay treatment and repeat CT in 24 hours

Answer

Start full-dose anticoagulation immediately

Answer

Clopidogrel loading dose only

ca-mccqe1 MCQ (SBA): Acute ischaemic stroke thrombolysis

A 64-year-old woman develops sudden right-sided weakness and aphasia 90 minutes ago. CT head shows no haemorrhage. Blood pressure is 165/95 mmHg and glucose is 7.0 mmol/L. There are no contraindications to thrombolysis. What is the most appropriate management?