NAC OSCE Practice Questions - National Assessment Collaboration Objective Structured Clinical Examination (NAC OSCE) Exam

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A 65-year-old man presents with sudden right-sided weakness and slurred speech that began 90 minutes ago. CT head shows no hemorrhage. His blood pressure is 168/92 mmHg and capillary glucose is 6.2 mmol/L. What is the most appropriate next step?

Lower the blood pressure rapidly to below 120/80 mmHg with IV labetalol Start aspirin immediately and admit for observation only Give IV mannitol to reduce presumed cerebral edema Assess eligibility for IV thrombolysis (tPA) and consider endovascular thrombectomy

Correct Answer:

Assess eligibility for IV thrombolysis (tPA) and consider endovascular thrombectomy

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