امرأة عمرها ٦٦ سنة، زوجها رآها بخير الساعة ٧ صباحاً، ولقاها الساعة ٩:٣٠ عندها ميلان في الوجه وضعف في يدها اليمنى، والآن الساعة ١٠. أي معلومة أهم لقرار إعطاء مذيب الجلطة؟

A 66-year-old woman was seen well by her husband at 07:00; at 09:30 he found her with facial droop and right arm weakness. It is now 10:00. Which information matters most for the thrombolysis decision?

1. Her cholesterol level on the last blood test
2. Whether or not she ate breakfast today
3. Whether a relative is present to sign consent
4. The time she was last known to be well

Answer: D) The time she was last known to be well. Thrombolysis eligibility depends on time since last known well (up to about 4.5 hours), and here it counts from 07:00, not from when symptoms were found. Cholesterol and breakfast do not change the emergency decision, and emergency treatment is not delayed waiting for family.