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Acute ischaemic stroke — RACP Written MCQ

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HardNeurologyAcute ischaemic strokeRACP Written

A 74-year-old man presents 90 minutes after sudden right hemiparesis and aphasia. Non-contrast CT brain shows no haemorrhage. Blood pressure is 174/94 mmHg and glucose is 6.8 mmol/L. Large vessel occlusion would change acute treatment. What is the most appropriate investigation?

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

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Correct answer: C — CT angiography of the head and neck

Early vascular imaging identifies large vessel occlusion and determines eligibility for endovascular thrombectomy in acute ischaemic stroke.

Reference: Australian stroke and neurology guideline principles; Therapeutic Guidelines