A 60-year-old man with long-standing hypertension presents with sudden onset right-sided weakness and expressive aphasia 45 minutes ago. His capillary...

Question

A 60-year-old man with long-standing hypertension presents with sudden onset right-sided weakness and expressive aphasia 45 minutes ago. His capillary glucose is 6 mmol/L and CT head shows no haemorrhage. What is the most appropriate next step?

Accepted Answer

Administer intravenous thrombolysis with Alteplase

Answer

Give Aspirin 300 mg immediately

Answer

Arrange outpatient MRI brain

Answer

Start high-dose Prednisolone

Answer

Observe for 24 hours before treatment

uk-plab-1 MCQ (SBA): Acute ischaemic stroke thrombolysis

A 60-year-old man with long-standing hypertension presents with sudden onset right-sided weakness and expressive aphasia 45 minutes ago. His capillary glucose is 6 mmol/L and CT head shows no haemorrhage. What is the most appropriate next step?