A 67-year-old with acute unilateral weakness presents 90 minutes after onset. BP 170/100 mmHg, glucose 118 mg/dL, CT head shows no bleed. What is the ...

Question

A 67-year-old with acute unilateral weakness presents 90 minutes after onset. BP 170/100 mmHg, glucose 118 mg/dL, CT head shows no bleed. What is the reperfusion option and time window?

Accepted Answer

tPA within 4.5 hours (0.9 mg/kg, max 90 mg) if eligible

Answer

tPA within 3 hours only

Answer

No thrombolysis because BP >160/100

Answer

Give aspirin then reassess thrombolysis later

Answer

Mechanical thrombectomy only

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

A 67-year-old with acute unilateral weakness presents 90 minutes after onset. BP 170/100 mmHg, glucose 118 mg/dL, CT head shows no bleed. What is the reperfusion option and time window?