A 72-year-old man presents with sudden onset right-sided weakness and aphasia 90 minutes ago. CT brain shows no haemorrhage. BP is 160/90 mmHg, glucos...

Question

A 72-year-old man presents with sudden onset right-sided weakness and aphasia 90 minutes ago. CT brain shows no haemorrhage. BP is 160/90 mmHg, glucose 6.5 mmol/L. There are no contraindications to thrombolysis. What is the most appropriate management?

Accepted Answer

Administer IV alteplase and arrange stroke unit admission

Answer

Admit and commence aspirin alone

Answer

Delay treatment to repeat CT scan in 24 hours

Answer

Give SC low-molecular-weight heparin instead of thrombolysis

Answer

Discharge with outpatient neurology follow-up

au-acem MCQ (SBA): Acute ischaemic stroke

A 72-year-old man presents with sudden onset right-sided weakness and aphasia 90 minutes ago. CT brain shows no haemorrhage. BP is 160/90 mmHg, glucose 6.5 mmol/L. There are no contraindications to thrombolysis. What is the most appropriate management?