Question 1

Question

A 58-year-old woman is brought to the emergency department after sudden onset of the worst headache of her life followed by loss of consciousness. She is now obtunded with a GCS of 10. Vital signs: BP 192/110 mmHg, HR 96 bpm, SpO2 94% on room air. The emergency physician reviews the CT head image shown. Based on the imaging finding, which of the following is the most appropriate immediate management decision?

Accepted Answer

Withhold thrombolytics and arrange urgent neurosurgical consultation

Answer

Administer IV alteplase 0.9 mg/kg after lowering blood pressure to below 185/110 mmHg

Answer

Initiate dual antiplatelet therapy with aspirin and clopidogrel and admit to the stroke unit

Answer

Perform CT angiography to identify the culprit vessel before any intervention

Answer

Start IV heparin infusion to prevent thrombus propagation and cardioembolic recurrence

Stroke — MCQs

Stroke — MCQs

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