A 38-year-old man presents with sudden-onset right-sided weakness and aphasia 2 hours after symptom onset. CT brain shows no haemorrhage. According to...

Question

A 38-year-old man presents with sudden-onset right-sided weakness and aphasia 2 hours after symptom onset. CT brain shows no haemorrhage. According to Canadian Stroke Best Practices, which intervention is most appropriate if there are no contraindications?

Accepted Answer

Intravenous alteplase thrombolysis

Answer

Start aspirin and delay reperfusion

Answer

Start therapeutic low-molecular-weight heparin

Answer

Observe for 24 hours then reassess

Answer

Order carotid ultrasound before any acute treatment

ca-mccqe1 MCQ (SBA): Acute ischaemic stroke

A 38-year-old man presents with sudden-onset right-sided weakness and aphasia 2 hours after symptom onset. CT brain shows no haemorrhage. According to Canadian Stroke Best Practices, which intervention is most appropriate if there are no contraindications?