A 67-year-old woman presents within 2 hours of right hemiparesis and aphasia. BP is 178/102 mm Hg, glucose 110 mg/dL, CT head negative for hemorrhage....

Question

A 67-year-old woman presents within 2 hours of right hemiparesis and aphasia. BP is 178/102 mm Hg, glucose 110 mg/dL, CT head negative for hemorrhage. NIHSS 9. What is the next step?

Accepted Answer

Administer IV alteplase after ensuring BP

Answer

Begin endovascular thrombectomy only

Answer

Observe without thrombolysis

Answer

Give aspirin and delay thrombolysis 24 hours

Answer

tPA contraindicated due to age

neurology MCQ (SBA): Acute Ischemic Stroke

A 67-year-old woman presents within 2 hours of right hemiparesis and aphasia. BP is 178/102 mm Hg, glucose 110 mg/dL, CT head negative for hemorrhage. NIHSS 9. What is the next step?