ABA Neurocritical Care Practice Questions - ABA Neurocritical Care Subspecialty Certification Exam

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A 68-year-old man presents with acute right hemiparesis and aphasia. Last known well was 90 minutes ago. CT head shows no hemorrhage. BP is 172/96, glucose 142, platelets 220,000. NIHSS is 14. Which is the MOST appropriate next step?

Withhold tPA until BP is <140/90 Administer IV alteplase 0.9 mg/kg Administer tenecteplase 0.5 mg/kg IV bolus Proceed directly to mechanical thrombectomy without IV thrombolysis

Correct Answer:

Administer IV alteplase 0.9 mg/kg

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