PLAB 2 (Professional And Linguistic Assessments Board Part 2) [plab-2-gmc]

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A patient presents to A&E with sudden onset weakness of the right arm and leg and slurred speech. Symptoms started 90 minutes ago. CT head excludes haemorrhage. According to NICE stroke guidelines, what is the most appropriate acute management?

Admit to a general medical ward and start aspirin Administer IV alteplase (thrombolysis) within the 4.5-hour window, as the patient has an acute ischaemic stroke with no contraindications Prescribe warfarin and discharge Arrange an MRI brain as an outpatient

Correct Answer:

Administer IV alteplase (thrombolysis) within the 4.5-hour window, as the patient has an acute ischaemic stroke with no contraindications

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