Q:

A 68 year old patient wakes up with slurred speech and right sided weakness. CT shows cerebral infarct. What is the most appropriate treatment?

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A 68 year old patient wakes up with slurred speech and right sided weakness. CT shows cerebral

infarct. What is the most appropriate treatment?


  1. Aspirin
  2. Alteplase
  3. Warfarin
  4. Clopidogrel
  5. Dipyridamole

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The key is A. Aspirin. [The window period to administer alteplase is 4.5 hours. If we cannot certain

(here patient was in sleep, so time period is not possible to establish) this period we cannot proceed for

alteplase].

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