skip to main content

Acute ischemic stroke — ABEM Board MCQ

Instant feedback + full explanation. One question, done properly.

ModerateNeurological emergenciesAcute ischemic strokeABEM Board

A 66-year-old woman arrives 70 minutes after sudden aphasia and right arm weakness. Triage acuity is ESI 2; BP 176/94 mm Hg, HR 82/min, glucose 112 mg/dL. NIHSS is 12. Noncontrast CT head shows no hemorrhage. She has no anticoagulant use or recent surgery. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Give IV thrombolysis after confirming eligibility

Disabling ischemic stroke within the thrombolytic window with no hemorrhage or contraindication should receive IV thrombolysis.

Reference: ACEP Thrombolytics for Acute Ischemic Stroke clinical policy; AHA/ASA stroke guideline