Question 1
A 62-year-old presents with right hemiparesis and aphasia, last known well 2 hours ago. Non-contrast CT shows no hemorrhage, no large established infarct. BP is 172/96 mmHg. Which dose of IV alteplase is correct?
Correct Answer:
0.9 mg/kg total (max 90 mg): 10% bolus, 90% over 60 minutes
Question 2
Per the DAWN and DEFUSE-3 trials, mechanical thrombectomy for anterior-circulation large vessel occlusion can be considered up to how many hours from last known well in selected patients with favorable imaging mismatch?
Correct Answer:
24 hours
Question 3
Before IV alteplase administration, blood pressure should be lowered to below which threshold per AHA/ASA guidelines?
Correct Answer:
185/110 mmHg
Question 4
After IV alteplase, blood pressure should be maintained below which threshold for the first 24 hours?
Correct Answer:
180/105 mmHg
Question 5
A 48-year-old with a complete MCA territory infarct develops worsening obtundation and 6 mm of midline shift on CT at hour 36. Which intervention has demonstrated mortality benefit per pooled DESTINY/DECIMAL/HAMLET data?
Correct Answer:
Decompressive hemicraniectomy within 48-72 hours
Question 1
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About this Exam

Prepare with the ABEM Neurocritical Care Practice Questions - Neurocritical Care Subspecialty Certification (UCNS ABMS multidisciplinary, ABEM-issued for EM diplomates) Exam practice quiz. This question bank includes 100 questions covering patient, hemorrhage, typically, hours, and guidelines. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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ABEM Neurocritical Care Practice Questions - Neurocritical Care Subspecialty Certification (UCNS ABMS multidisciplinary, ABEM-issued for EM diplomates) Exam

This practice set contains 100 questions from the matching question bank and focuses on patient, hemorrhage, typically, hours, and guidelines. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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