BOF 15

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BOF: 15

A 72 year old male presents with a history of sudden onset weakness of the right side of his body of 6 hours duration. He has not seen his general practitioner for years and is not on any medication. He smokes 10 cigarettes a day and consumes 20 units of alcohol per week.

On examination you note a right sided weakness involving his face arm and legs. The limbs are flaccid on that side and reflexes are absent. BP 190/120, examination of the optic fundus reveals thickening of the arteries and arteriovenous nipping.

A CT scan of his head does not show a haemorrhage.

In this patient your next line of management would be:

a)   Alteplase

b)   Amlodipine

c)    Aspirin

d)   Clopidrogel

e)   Warfarin

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