A 61-year-old presents 3 hours after onset of stroke symptoms; CT shows no hemorrhage. NIHSS 8. Blood glucose 118 mg/dL, BP 178/98 mm Hg. Best next st...

Question

A 61-year-old presents 3 hours after onset of stroke symptoms; CT shows no hemorrhage. NIHSS 8. Blood glucose 118 mg/dL, BP 178/98 mm Hg. Best next step?

Accepted Answer

Administer IV alteplase after BP control to

Answer

Start dual antiplatelet therapy

Answer

Mechanical thrombectomy only

Answer

Withhold thrombolysis because NIHSS

Answer

Start heparin infusion

us-abem MCQ (SBA): Acute Ischemic Stroke-Thrombolysis

A 61-year-old presents 3 hours after onset of stroke symptoms; CT shows no hemorrhage. NIHSS 8. Blood glucose 118 mg/dL, BP 178/98 mm Hg. Best next step?