A 70-year-old man in a remote northern nursing station presents with new facial droop and arm weakness that started 45 minutes ago. CT is not availabl...

Question

A 70-year-old man in a remote northern nursing station presents with new facial droop and arm weakness that started 45 minutes ago. CT is not available on site, but a provincial telestroke programme exists, and air transport to a stroke centre takes 2 hours. What is the best next step?

Accepted Answer

Arrange urgent transfer and initiate telestroke consultation immediately

Answer

Wait for the next scheduled clinic day and reassess

Answer

Start aspirin only and observe locally

Answer

Order routine blood tests and delay any referral until results return

Answer

Tell the patient that stroke care is not possible in his community

ca-mccqe1 MCQ (SBA): Acute stroke in rural/remote setting

A 70-year-old man in a remote northern nursing station presents with new facial droop and arm weakness that started 45 minutes ago. CT is not available on site, but a provincial telestroke programme exists, and air transport to a stroke centre takes 2 hours. What is the best next step?