A 62-year-old woman presents with sudden onset right-sided weakness and aphasia 90 minutes ago. CT head shows no haemorrhage. According to Canadian St...

Question

A 62-year-old woman presents with sudden onset right-sided weakness and aphasia 90 minutes ago. CT head shows no haemorrhage. According to Canadian Stroke Best Practice recommendations, which is the most appropriate next step?

Accepted Answer

Administer IV alteplase if no contraindications

Answer

Start aspirin and delay thrombolysis for 24 hours

Answer

Observe for spontaneous improvement with no acute therapy

Answer

Start therapeutic low-molecular-weight heparin immediately

Answer

Order MRI and wait for results before treatment

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

A 62-year-old woman presents with sudden onset right-sided weakness and aphasia 90 minutes ago. CT head shows no haemorrhage. According to Canadian Stroke Best Practice recommendations, which is the most appropriate next step?