skip to main content

Acute stroke — DipIMC MCQ

Instant feedback + full explanation. One question, done properly.

EasyMedical EmergenciesAcute strokeDipIMC

A woman develops sudden right-sided weakness and dysphasia 50 minutes before ambulance arrival. Glucose is normal and symptoms persist. What is the most appropriate transport decision?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Pre-alert and transport to the nearest hyperacute stroke service

Option B is correct because Time-critical stroke care requires rapid recognition and transfer to imaging and reperfusion-capable services. Option D is less appropriate because the clinical risk exceeds that destination or timeframe; option E is less appropriate because pre-alert is needed to mobilise the correct receiving team. Option A is less appropriate because watchful waiting risks deterioration or delays definitive care; option C is less appropriate because unmonitored private transport is unsafe for this risk profile. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.

Reference: JRCALC Guidelines; NICE Stroke guidance