AOBEM Emergency Medicine Practice Questions - AOBEM Emergency Medicine Primary Certifying Examination Exam

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A 65-year-old woman presents with sudden-onset right-sided weakness and aphasia that began 90 minutes ago. NIHSS is 12 and head CT shows no hemorrhage. BP is 175/95. What is the next step?

IV alteplase (tPA) Aspirin 325 mg PO Heparin drip Lower BP to <140/90 before any therapy

Correct Answer:

IV alteplase (tPA)

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