ABIM Neurocritical Practice Questions - ABIM Neurocritical Care Subspecialty Certification Exam

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A 68-year-old woman presents 2 hours after sudden right-sided weakness and aphasia. NIHSS is 14. Non-contrast CT shows no hemorrhage, ASPECTS 9. BP is 168/92, glucose 140 mg/dL, INR 1.0. Per the AHA 2024 update, which IV thrombolytic regimen is preferred?

Tenecteplase 0.25 mg/kg IV bolus (max 25 mg) Alteplase 0.6 mg/kg with 15% as bolus over 1 minute Streptokinase 1.5 million units over 60 minutes Reteplase 10 units double bolus 30 minutes apart

Correct Answer:

Tenecteplase 0.25 mg/kg IV bolus (max 25 mg)

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