Slurred Speech in Medicine / Internal Medicine — 62yo Man | Neurology | SMLE Q#306

SMLE Question #306

Medicine / Internal Medicine Neurology
Last updated: February 2026
A 62-year-old man presents 45 minutes after sudden-onset left facial, arm, and leg weakness with slurred speech. He has hypertension and type 2 diabetes mellitus and takes amlodipine and metformin. Neurologic exam shows left hemiplegia with increased tone and mildly reduced sensation on the left. What is the most appropriate first step in management?

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