QuestionSBA
QuestionChoice
This patient is presenting with signs characteristic of a right-sided ischaemic stroke, which is confirmed by the region of hypodensity present on the CT scan. If a patient presents within 4.5 hours of stroke symptom onset, IV alteplase should be started as soon as possible for thrombolysis, assuming there are no contraindications.
10002357
a
Intravenous alteplase
QuestionChoice
For ischaemic strokes, intravenous alteplase is the preferred agent for thrombolysis, rather than intravenous apixaban. Apixaban also only comes in oral form.
10002359
c
Intravenous apixaban
QuestionChoice
Whilst a mechanical thrombectomy may be considered in patients presenting late with ischaemic stroke, this patient has presented within the 4.5-hour threshold and is therefore a candidate for IV alteplase thrombolysis first.
10002361
e
Mechanical thrombectomy
QuestionChoice
For ischaemic strokes, intravenous alteplase is the preferred agent for thrombolysis, rather than intravenous warfarin.
10002358
b
Intravenous warfarin
QuestionChoice
Blood pressure control is a part of the management of haemorrhagic strokes, as opposed to ischaemic strokes.
10002360
d
Intravenous bisoprolol
Concept
Chapter
2693
3743
Ischaemic Stroke
Topic
141
Neurology
13018
A 77-year-old male presents to A&E with left-sided hemiparesis, left-sided facial paralysis and slurred speech which started 3 hours ago. He has a past medical history of hypertension and type 2 diabetes for which he is taking amlodipine and metformin. A CT scan is performed which reveals a region of hypodensity over the right frontal lobe.

Given the most likely diagnosis, which of the following treatment options is most likely to be considered?
a