Physician Assistant National Certifying Exam (PANCE)

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A 55-year-old man with a history of atrial fibrillation presents with sudden onset of right-sided weakness and aphasia. He is not anticoagulated. CT scan shows no hemorrhage. What is the most appropriate immediate management?

Immediate thrombolysis if within 4.5 hours of symptom onset Aspirin 325 mg only Heparin drip with immediate anticoagulation Warfarin initiation

Correct Answer:

Immediate thrombolysis if within 4.5 hours of symptom onset

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