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What is the first test in the Cincinnati Stroke Score assessment?

  1. Arm Drift

  2. Speech

  3. Facial Droop

  4. Reflexes

The correct answer is: Facial Droop

In the Cincinnati Stroke Score assessment, the first test conducted is the evaluation of facial droop. This is accomplished by asking the patient to smile or show their teeth. A noticeable difference in the elevation of one side of the face compared to the other indicates facial droop, which is a significant indicator of a stroke. Facial droop serves as an initial assessment for stroke because changes in facial symmetry can be one of the earliest signs of a stroke and is essential for determining the need for immediate medical intervention. Recognizing this symptom helps guide further examinations and treatments. While arm drift, speech, and reflex evaluations are also crucial components of the overall stroke assessment, they occur after facial droop in the sequence. The emphasis on facial droop first allows for a rapid visual inspection that can indicate a critical condition, enabling quicker action in life-threatening situations.