Q:

A 74 year old man presents with sudden onset of with right sided weakness and slurred speech. He also has loss of sensation over the right side of the body and visual field defects. CT shows ischemic stroke. What is the most appropriate management?

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A 74 year old man presents with sudden onset of with right sided weakness and slurred speech. He also has loss of sensation over the right side of the body and visual field defects. CT shows ischemic stroke. What is the most appropriate management?


  1. Alteplase
  2. Streptokinase
  3. Nimodipine
  4. Aspirin
  5. Labetolol

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The key is A. Alteplase. [If no time frame is mentioned it is assumed that patient arrived at window

period unless given evidence of uncertain time like stroke after getting up from sleep. Aspirin is started

at least after 24 hours of giving alteplase].

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