A 59-year-old presents within 2 hours of right hemiparesis and aphasia. BP is 182/108 mmHg. CT head shows no hemorrhage. What should be done to offer ...

Question

A 59-year-old presents within 2 hours of right hemiparesis and aphasia. BP is 182/108 mmHg. CT head shows no hemorrhage. What should be done to offer IV thrombolysis?

Accepted Answer

Lower BP to

Answer

No BP treatment; give tenecteplase 0.5 mg/kg

Answer

Defer thrombolysis because BP is elevated

Answer

Give DAPT instead of thrombolysis

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

A 59-year-old presents within 2 hours of right hemiparesis and aphasia. BP is 182/108 mmHg. CT head shows no hemorrhage. What should be done to offer IV thrombolysis?