A 79-year-old woman develops sudden right-sided weakness and expressive dysphasia 45 minutes before arriving at the emergency department. On examinati...

Question

A 79-year-old woman develops sudden right-sided weakness and expressive dysphasia 45 minutes before arriving at the emergency department. On examination she has a dense right hemiparesis and is alert. What is the most appropriate immediate investigation?

Accepted Answer

Non-contrast CT brain as soon as possible

Answer

MRI brain with contrast within 24 hours

Answer

Carotid Doppler ultrasound as first-line

Answer

ECG and echocardiogram before brain imaging

Answer

Urgent lumbar puncture

uk-plab-1 MCQ (SBA): Acute ischaemic stroke

A 79-year-old woman develops sudden right-sided weakness and expressive dysphasia 45 minutes before arriving at the emergency department. On examination she has a dense right hemiparesis and is alert. What is the most appropriate immediate investigation?