A 63-year-old with sudden right-sided weakness presents 90 minutes after last known well. CT head shows no hemorrhage; NIHSS 12; glucose 120 mg/dL; BP...

Question

A 63-year-old with sudden right-sided weakness presents 90 minutes after last known well. CT head shows no hemorrhage; NIHSS 12; glucose 120 mg/dL; BP 178/98 mmHg. What is the recommended thrombolytic regimen?

Accepted Answer

Alteplase 0.9 mg/kg (max 90 mg): 10% bolus over 1 minute then remainder over 60 minutes

Answer

Tenecteplase 50 mg IV push

Answer

Streptokinase 1.5 million units over 60 minutes

Answer

Alteplase 0.5 mg/kg over 10 minutes

Answer

No thrombolysis because presentation is

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

A 63-year-old with sudden right-sided weakness presents 90 minutes after last known well. CT head shows no hemorrhage; NIHSS 12; glucose 120 mg/dL; BP 178/98 mmHg. What is the recommended thrombolytic regimen?