A 50‑year‑old woman with sudden left hemiparesis presents 1.5 hours after onset; BP 178/98, glucose 100 mg/dL, CT negative for hemorrhage. What therap...

Question

A 50‑year‑old woman with sudden left hemiparesis presents 1.5 hours after onset; BP 178/98, glucose 100 mg/dL, CT negative for hemorrhage. What therapy is indicated?

Accepted Answer

IV alteplase 0.9 mg/kg (max 90 mg) after confirming BP

Answer

Aspirin 325 mg now only

Answer

Delay therapy for MRI

Answer

No therapy due to age

Answer

Therapeutic heparin

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

A 50‑year‑old woman with sudden left hemiparesis presents 1.5 hours after onset; BP 178/98, glucose 100 mg/dL, CT negative for hemorrhage. What therapy is indicated?