MCQ 007. Contraindications for Thrombolysis in Acute Ischaemic Stroke

Which of the following are contraindications for thrombolysis in acute ischaemic stroke?

A. NIHSS score of 3

B. History of ischaemic stroke 3 weeks back

C. Severe head trauma 1 year back

D. Intracranial haemorrhage 5 years back

E. Treatment with dabigatran

F. Infective endocarditis

Answers

A. True

B. True

C. False

D. True

E. True

F. True

Note

Contraindications for thrombolysis:

  1. Mild nondisabling stroke (NIHSS score 0–5)
  2. Acute intracranial hemorrhage
  3. Ischemic stroke within 3 months
  4. Severe head trauma within 3 months
  5. Acute head trauma
  6. Intracranial/intraspinal surgery within 3 months
  7. History of intracranial hemorrhage
  8. GI malignancy or GI bleed within 21 days
  9. Coagulopathy
  10. On anticoagulants (LMWH or DOACs)
  11. Infective endocarditis
  12. Aortic arch dissection
  13. Intra-axial intracranial neoplasm