Question

A 70-year-old woman presents with sudden-onset right hemiparesis and aphasia that began 90 minutes ago. CT head shows no haemorrhage. She has no contraindications to thrombolysis. According to current stroke guidelines, what is the most appropriate next step?

Accepted Answer

Administer intravenous alteplase and arrange urgent transfer for possible thrombectomy

Answer

Delay treatment until MRI confirms infarct

Answer

Start aspirin 325 mg and observe

Answer

Discharge home with close follow-up because symptoms may resolve

Answer

Administer prophylactic low-molecular-weight heparin only

Practice question

A 70-year-old woman presents with sudden-onset right hemiparesis and aphasia that began 90 minutes ago. CT head shows no haemorrhage. She has no contraindications to thrombolysis. According to current stroke guidelines, what is the most appropriate next step?