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Suspected stroke FAST positive — DipIMC MCQ

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EasyMedical EmergenciesSuspected stroke FAST positiveDipIMC

A 77-year-old develops sudden right facial droop, right arm weakness and dysphasia at home. Onset was witnessed 50 minutes ago and blood glucose is normal. What is the most appropriate transport decision?

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

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Correct answer: ATransport urgently to a hyperacute stroke unit with pre-alert

Transport urgently to a hyperacute stroke unit with pre-alert is the best answer because suspected acute stroke within a reperfusion window requires rapid specialist stroke assessment. Transport to the nearest minor injury unit is less appropriate because a minor injury unit cannot provide definitive major trauma care; Transport to the nearest hospital without pre-alert is less appropriate because unstructured destination choice can delay trauma-team activation. Remain on scene until observations normalise and Allow self-evacuation in a private vehicle are also suboptimal because they move attention away from the key pre-hospital priority.. The key DipIMC principle is to treat immediate reversible threats, communicate clearly and move the patient toward the right definitive care.

Reference: JRCALC Guidelines; NICE Stroke guidance