Stroke Management for NEET-PG & INICET — Ischemic vs Hemorrhagic

This is a high-yield topic in NEET-PG & INICET Medicine, contributing 2-3 marks per paper. Master the key concepts below, then practise PYQs on Kinase to lock in your score on exam day.

Quick Answer

Stroke is tested in NEET-PG & INICET Medicine — 2-3 marks per paper. First step: non-contrast CT to differentiate ischemic from hemorrhagic. Ischemic: IV thrombolysis (rtPA / alteplase) within 4.5 hours of onset. Mechanical thrombectomy: up to 24 hours for large vessel occlusion. Hemorrhagic: BP control, neurosurgery referral.

Key Concepts to Lock In

  • 1First investigation: non-contrast CT head (rule out hemorrhage before thrombolysis)
  • 2Ischemic stroke (~85%): IV thrombolysis (rtPA / alteplase) within 4.5 hours of symptom onset
  • 3Mechanical thrombectomy: up to 6-24 hours for large vessel occlusion (LVO)
  • 4Door-to-needle time target: ≤60 minutes
  • 5Hemorrhagic stroke (~15%): BP control (target SBP <160), reverse anticoagulation, neurosurgery
  • 6NIHSS score: 0-42, used to assess severity and treatment decisions
  • 7Long-term: antiplatelet (Aspirin), statin, BP control, anticoagulation if AF
  • 8Contraindications to thrombolysis: recent surgery/bleed, INR >1.7, BP >185/110

NEET-PG & INICET Relevance

NEET-PG & INICET SubjectMedicine
Expected questions2-3 marks per paper
Question typeMostly clinical vignettes; some direct recall
Repeated in last 5 yearsYes — appears in nearly every session

Related High-Yield Topics

Pro tip: reading this page once is not enough. Pair the concepts above with 20-30 NEET-PG & INICET-style PYQs on this topic, then revisit after 7 days. Spaced practice is what locks high-yield topics into long-term recall for exam day.

Frequently Asked Questions

Is Stroke Management for NEET-PG & INICET important for NEET-PG & INICET?
Yes. This topic typically contributes 2-3 marks per paper in the NEET-PG & INICET paper, predominantly in the Medicine section. It is among the high-yield topics that consistently appear across recent NEET-PG & INICET sessions.
How should I prepare this topic for NEET-PG & INICET 2026?
Master the key concepts listed on this page, then practise NEET-PG & INICET-style PYQs on this topic. The most efficient approach: 30 minutes of focused reading followed by 20-30 PYQs to lock in retention. Repeat after 7 days for spaced revision.
Where does this topic fit in the NEET-PG & INICET syllabus?
This topic falls under NEET-PG & INICET Medicine. Medicine carries significant weightage in the NEET-PG & INICET paper. Combine this topic with other high-yield Medicine topics for maximum return on study time.
Are PYQs available on this topic in Kinase?
Yes. Kinase has thousands of subject-tagged PYQs including this specific topic. Each question comes with a detailed text explanation covering the concept and why other options are incorrect.
Medicine subject
2-3 marks per paper
Updated for NEET-PG & INICET 2026

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This topic is 2-3 marks per paper of NEET-PG & INICET June 2026. Lock it in.

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