A 68-year-old with ischemic stroke (NIHSS 7) presents 2 hours after onset. CT head shows no hemorrhage. BP 170/95 mm Hg, glucose 105 mg/dL. Which repe...

Question

A 68-year-old with ischemic stroke (NIHSS 7) presents 2 hours after onset. CT head shows no hemorrhage. BP 170/95 mm Hg, glucose 105 mg/dL. Which reperfusion therapy and dose is correct?

Accepted Answer

IV alteplase 0.9 mg/kg (max 90 mg) within 4.5 hours

Answer

Tenecteplase 0.9 mg/kg

Answer

IV alteplase only within 2 hours

Answer

Heparin bolus then tPA

Answer

No reperfusion if NIHSS

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

A 68-year-old with ischemic stroke (NIHSS 7) presents 2 hours after onset. CT head shows no hemorrhage. BP 170/95 mm Hg, glucose 105 mg/dL. Which reperfusion therapy and dose is correct?