Question

A 62-year-old with sudden right hemiparesis arrives 90 minutes after onset. BP 168/96, glucose 130 mg/dL, CT head without hemorrhage. What is the next best step?

Accepted Answer

Administer IV alteplase

Answer

Begin aspirin 325 mg now

Answer

Delay therapy until MRI

Answer

Start IV heparin infusion

Answer

Proceed to elective thrombectomy without imaging

Practice question

A 62-year-old with sudden right hemiparesis arrives 90 minutes after onset. BP 168/96, glucose 130 mg/dL, CT head without hemorrhage. What is the next best step?