A 72-year-old woman with a history of hypertension presents with sudden right-sided weakness and aphasia. CT head shows no haemorrhage. Symptoms start...

Question

A 72-year-old woman with a history of hypertension presents with sudden right-sided weakness and aphasia. CT head shows no haemorrhage. Symptoms started 90 minutes ago. What is the most appropriate next step in management?

Accepted Answer

Administer intravenous thrombolysis if no contraindications

Answer

Start acetylsalicylic acid 160 mg now

Answer

Arrange urgent carotid Doppler ultrasound

Answer

Begin dual antiplatelet therapy

Answer

Observe for 24 hours then repeat imaging

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

A 72-year-old woman with a history of hypertension presents with sudden right-sided weakness and aphasia. CT head shows no haemorrhage. Symptoms started 90 minutes ago. What is the most appropriate next step in management?