A 68-year-old with sudden right hemiparesis arrives 2.5 hours after onset. BP is 196/112 mm Hg, CT head shows no hemorrhage. Weight 80 kg. Next best s...

Question

A 68-year-old with sudden right hemiparesis arrives 2.5 hours after onset. BP is 196/112 mm Hg, CT head shows no hemorrhage. Weight 80 kg. Next best step?

Accepted Answer

Lower BP to

Answer

Administer aspirin 325 mg and admit for monitoring

Answer

Begin full-dose heparin infusion

Answer

Delay thrombolysis until MRI confirms infarct

Answer

Give tenecteplase 1 mg/kg IV

us-usmle-step-2 MCQ (SBA): Acute Ischemic Stroke

A 68-year-old with sudden right hemiparesis arrives 2.5 hours after onset. BP is 196/112 mm Hg, CT head shows no hemorrhage. Weight 80 kg. Next best step?