Question

A 72-year-old woman presents 2 hours after onset of left-sided weakness. CT head shows no haemorrhage. She has no contraindications to thrombolysis. What is the most appropriate next step?

Accepted Answer

Administer intravenous Alteplase

Answer

Start Aspirin 300 mg and delay thrombolysis

Answer

Give prophylactic low-molecular-weight heparin only

Answer

Start high-dose Clopidogrel alone

Answer

Arrange elective carotid endarterectomy first

Practice question

A 72-year-old woman presents 2 hours after onset of left-sided weakness. CT head shows no haemorrhage. She has no contraindications to thrombolysis. What is the most appropriate next step?