ABIM Neurocritical

Practice session

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 2026 AHA/ASA acute ischemic stroke guideline, which of these IV thrombolytic regimens is recommended?

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