Last updated on: January 8th, 2024

Hi there!

You’re looking at a multiple-choice question from QBank Prepper (the newest of four distinct learning formats available in Clinical Odyssey). Try it out, and have fun improving your clinical skills.

Cerebrovascular Diseases 3

A 72-year-old man is brought to the emergency department after complaining of sudden onset of left-sided weakness and slurred speech 4 hours ago. He has a past medical history of poorly controlled hypertension and type 2 diabetes mellitus. His temperature is 37.3ºC (99.1ºF), pulse is 82/min, respiration is 16/min, and blood pressure is 192/102 mmHg. His O2 saturation is 98% on room air. He is awake and alert. He has a left central facial palsy, a left-sided hemiparesis grade 2/5, with a left-sided Babisnki sign. His NIH Stroke Scale score is 11 (000122202001010). His blood glucose is 180 mg/dL. ECG shows normal sinus rhythm. A CT scan shows a large right-hemispheric infarction without evidence of edema (ASPECTS 4). The patient is admitted to the hospital's stroke unit. Which of the following is the most appropriate next step in his management?

Want to continue practicing?

Subscribe to Clinical Odyssey today.
  • Enjoy unlimited access to 700+ learning modules.
  • Safely improve your skills, anytime and anywhere.
  • Get answers to your follow-up questions from practicing physicians.
Learn more ➜