Case Steven Q1: It's a typical busy Saturday afternoon in the emergency department when a 68-year-old male patient is brought in by his wife. The patient presents with a history of acute onset right-sided weakness, which is severe in his hand and mild in his leg. He also has slurred speech, which started one hour ago while he was having lunch with his family. You are the doctor who must assess the patient promptly. What are your first steps in assessing this patient?

Case Steven Q1: It’s a typical busy Saturday afternoon in the emergency department when a 68-year-old male patient is brought in by his wife. The patient presents with a history of acute onset right-sided weakness, which is severe in his hand and mild in his leg. He also has slurred speech, which started one hour ago while he was having lunch with his family. You are the doctor who must assess the patient promptly. What are your first steps in assessing this patient?

Case Steven Q1: It's a typical busy Saturday afternoon in the emergency department when a 68-year-old male patient is brought in by his wife. The patient presents with a history of acute onset right-sided weakness, which is severe in his hand and mild in his leg. He also has slurred speech, which started one hour ago while he was having lunch with his family. You are the doctor who must assess the patient promptly. What are your first steps in assessing this patient?

A: Administer aspirin and arrange for a follow-up appointment with a neurologist.

B: Conduct a thorough history and physical examination, then order routine blood tests.

C: Immediately perform a rapid assessment using the NIH Stroke Scale (NIHSS), check vital signs, and ensure IV access while preparing for an urgent CT scan of the head.

D: Start intravenous fluids and wait for the on-call neurologist to arrive.

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