Cardiology: contraindications to thrombolysis: practice question

A General Medicine question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Medicine · Cardiology: contraindications to thrombolysis

Sample item

Which of the following is an absolute contraindication to thrombolysis in STEMI?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Previous intracranial haemorrhage

Absolute contraindications include prior intracranial haemorrhage, ischaemic stroke within 3 months, intracranial neoplasm or vascular malformation, active bleeding and suspected aortic dissection. Age and menstruation are not absolute barriers. Primary PCI is preferred when it is available in time.

Option by option

  • A. Age above 75 years

    Old age raises risk but is not an absolute contraindication.

  • B. Controlled hypertension on treatment

    Controlled hypertension is acceptable; severe uncontrolled hypertension is a relative one.

  • C. Previous intracranial haemorrhage (correct)

    Correct. Prior intracranial haemorrhage carries a high risk of recurrence with lytics.

  • D. Menstruation

    Menses is not a contraindication.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this General Medicine question

What is the answer to this General Medicine question?

The best answer is C, Previous intracranial haemorrhage. Absolute contraindications include prior intracranial haemorrhage, ischaemic stroke within 3 months, intracranial neoplasm or vascular malformation, active bleeding and suspected aortic dissection.

Why is "Age above 75 years" not the answer?

Old age raises risk but is not an absolute contraindication.

Why is "Controlled hypertension on treatment" not the answer?

Controlled hypertension is acceptable; severe uncontrolled hypertension is a relative one.

Why is "Menstruation" not the answer?

Menses is not a contraindication.

What concept does this question test?

It tests Cardiology: contraindications to thrombolysis in General Medicine. Age and menstruation are not absolute barriers. Primary PCI is preferred when it is available in time.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Cardiology: contraindications to thrombolysis?

For each disease know the classic presentation, the best test, and the first-line treatment. Then use the flashcards and the other General Medicine questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.