A 63-year-old man presents with sudden onset weakness of his right arm and leg and slurred speech which started 1 hour ago. On examination he has expr...

Question

A 63-year-old man presents with sudden onset weakness of his right arm and leg and slurred speech which started 1 hour ago. On examination he has expressive dysphasia and right-sided hemiparesis. CT brain shows no haemorrhage. What is the most appropriate next step in management?

Accepted Answer

Offer intravenous Alteplase after specialist stroke assessment

Answer

Start Aspirin 75 mg orally once daily

Answer

Arrange MRI brain and review in the morning

Answer

Admit for observation without specific therapy

Answer

Commence dual antiplatelet therapy with Aspirin and Clopidogrel immediately

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

A 63-year-old man presents with sudden onset weakness of his right arm and leg and slurred speech which started 1 hour ago. On examination he has expressive dysphasia and right-sided hemiparesis. CT brain shows no haemorrhage. What is the most appropriate next step in management?