Sudden Left Facial in Medicine / Internal Medicine — 50yo Man | Neurology | SMLE Q#16806
SMLE Question #16806
Medicine / Internal Medicine
Neurology
Objective: OBJ-307
Last updated: February 2026
A 50-year-old man with long-standing type 2 diabetes mellitus and hypertension presents with sudden left facial, arm, and leg weakness for 4 hours, associated with slurred speech and unsteady gait. He denies headache or recent head trauma. He is awake and oriented. Neurologic examination shows left upper motor neuron facial weakness and dense left hemiparesis with hyperreflexia and an extensor plantar response. What is the most appropriate next step in management?
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