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Acute ischaemic stroke — DIPIMC MCQ

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ModerateMedical EmergenciesAcute ischaemic strokeDIPIMCDipIMC

A 65-year-old develops a facial droop, arm weakness and slurred speech 40 minutes ago. A capillary glucose has been checked and is normal.

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

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Correct answer: E — Pre-alert and transport directly to a hyperacute stroke unit.

A FAST-positive patient within the treatment window should be taken directly to a hyperacute stroke unit with a pre-alert, to enable rapid imaging and reperfusion therapy. Hypoglycaemia is excluded first because it can mimic a stroke. Aspirin is withheld pre-hospital until haemorrhage has been excluded by imaging.

Reference: JRCALC Clinical Guidelines