Aspirin contraindication for suspected rupturing aneurysm is classified as which option?

• A. Suspected rupturing aneurysm
• B. Active GI bleeding
• C. Asthma with nasal polyps
• D. Fever

Answer: (A)

The key idea is that giving aspirin is dangerous when rupture of a cerebral aneurysm is suspected, because aspirin’s antiplatelet effect can worsen bleeding and complicate urgent treatment. The reason this is the contraindication in this scenario is the rupture itself; if a rupture is suspected, withholding antiplatelet therapy is essential to avoid increasing intracranial hemorrhage and make timely surgical management possible.

In other contexts, active GI bleeding is also a reason not to use aspirin, but the question specifically ties the contraindication to the scenario of suspected ruptured aneurysm. Asthma with nasal polyps and fever describe different situations where aspirin behavior varies, but they do not define the contraindication for suspected rupturing aneurysm.