Q:

A 54 year old patient wakes up with right sided weakness. His current medication is bendroflumethiazide for HTN (hypertension). Pulse 92 bpm, BP 160/90mmHg. CT shows left cerebral infarct. What is the most appropriate treatment?

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A 54 year old patient wakes up with right sided weakness. His current medication is bendroflumethiazide for HTN (hypertension). Pulse 92 bpm, BP 160/90mmHg. CT shows left

cerebral infarct. What is the most appropriate treatment?


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

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The key is B. Aspirin. [In stroke window period to use alteplase is 4.5 hours. In the given history we

can in no way certain the time of stroke and we can not proceed for alteplase unless window period is

confirmed. Hence we cannot give alteplase but Aspirin].

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