A 63-year-old man with a history of hypertension and smoking presents with sudden onset right-sided weakness and expressive dysphasia, starting 90 min...

Question

A 63-year-old man with a history of hypertension and smoking presents with sudden onset right-sided weakness and expressive dysphasia, starting 90 minutes ago. On examination he has a dense right hemiparesis but is haemodynamically stable. What is the most appropriate next step in management?

Accepted Answer

Arrange an urgent non-contrast CT brain scan

Answer

Start intravenous thrombolysis immediately without imaging

Answer

Arrange an MRI brain scan within 24 hours

Answer

Start aspirin 300 mg immediately and delay imaging

Answer

Discharge with outpatient neurology review

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

A 63-year-old man with a history of hypertension and smoking presents with sudden onset right-sided weakness and expressive dysphasia, starting 90 minutes ago. On examination he has a dense right hemiparesis but is haemodynamically stable. What is the most appropriate next step in management?