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What indicates a problem during the Arm Drift test in the Cincinnati Stroke Score?

  1. One arm does not rise

  2. Arms raise at different times

  3. Patient keeps eyes open

  4. Both arms move together

The correct answer is: One arm does not rise

The Arm Drift test is a critical component of the Cincinnati Stroke Score used to assess potential stroke symptoms. In this test, the patient is asked to hold their arms out in front of them with their palms up and close their eyes. A significant indication of a problem occurs when one arm does not rise or drifts downward compared to the other arm. When one arm fails to rise, it suggests a lack of motor function or control, which can indicate weakness or paralysis on one side of the body, often associated with a stroke. This unilateral drop can signal brain injury in areas that control movement and coordination. Observing this reaction gives emergency responders crucial information about the patient's condition and directs appropriate medical intervention. In contrast, while arms raising at different times, eyes being kept open, or both arms moving together may indicate some level of motor function, they do not directly suggest a stroke symptom as clearly as the significant drift or immobility seen when one arm fails to rise.