A 64-year-old with acute right-sided weakness arrives 120 minutes after last known well. CT head shows no hemorrhage. BP is 198/112 mm Hg, NIHSS 12. W...

Question

A 64-year-old with acute right-sided weakness arrives 120 minutes after last known well. CT head shows no hemorrhage. BP is 198/112 mm Hg, NIHSS 12. What is the most appropriate next step?

Accepted Answer

Lower BP to

Answer

Give aspirin now and delay thrombolysis until 24 hours.

Answer

Proceed directly to mechanical thrombectomy and avoid thrombolysis.

Answer

Allow permissive hypertension up to 220/120 mm Hg and reassess in 6 hours.

Answer

Start IV heparin infusion for presumed thrombus.

us-abem MCQ (SBA): Acute Ischemic Stroke

A 64-year-old with acute right-sided weakness arrives 120 minutes after last known well. CT head shows no hemorrhage. BP is 198/112 mm Hg, NIHSS 12. What is the most appropriate next step?