A 68-year-old man presents with sudden onset left-sided weakness and slurred speech that started 1 hour ago. On examination, he has left facial droop ...

Question

A 68-year-old man presents with sudden onset left-sided weakness and slurred speech that started 1 hour ago. On examination, he has left facial droop and left arm and leg weakness. CT head shows no haemorrhage. He normally lives independently. What is the most appropriate immediate treatment?

Accepted Answer

Administer intravenous thrombolysis with Alteplase

Answer

Start Aspirin 75 mg immediately and defer thrombolysis

Answer

Start a direct oral anticoagulant immediately

Answer

Discharge home with safety-net advice

Answer

Arrange carotid endarterectomy the same day

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

A 68-year-old man presents with sudden onset left-sided weakness and slurred speech that started 1 hour ago. On examination, he has left facial droop and left arm and leg weakness. CT head shows no haemorrhage. He normally lives independently. What is the most appropriate immediate treatment?