BOF 80

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BOF: 80

A 76 year old male presents with weakness of the right side of his body. He is a known hypertensive on a thiazide diuretic. He does not smoke or drink and has been otherwise well.

On examination he has a pulse rate of 80 beats per minute , regular in rhythm , BP 170/110 , heart sounds were normal with no murmurs , there was no carotid bruit.

Examination of the nervous system revealed a right hemiparesis.

Investigations

ECG

Sinus rhythm

CT scan

Lacunar infarct in the left internal capsule

In this patient which one of the following medications would you start the patient on immediately?

a)      Aspirin

b)      Clopidrogel

c)      Warfarin

d)     ACE inhibitor

e)      Heparin

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