Question

A 62-year-old with acute ischemic stroke arrives 90 minutes from onset; BP 168/96 mm Hg; CT shows no hemorrhage. NIHSS 8. Which management is indicated?

Accepted Answer

IV alteplase 0.9 mg/kg (max 90 mg)

Answer

Tenecteplase 0.4 mg/kg IV bolus

Answer

Aspirin then delay thrombolysis 24 h

Answer

Mechanical thrombectomy only

Answer

Clopidogrel 300 mg load now

Practice question

A 62-year-old with acute ischemic stroke arrives 90 minutes from onset; BP 168/96 mm Hg; CT shows no hemorrhage. NIHSS 8. Which management is indicated?