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Which symptom is NOT a criterion for identifying a stroke protocol?

  1. Unilateral arm weakness

  2. Slurred speech

  3. Normal cognitive function

  4. Unilateral facial droop

The correct answer is: Normal cognitive function

Identifying the symptoms characteristic of a stroke is crucial for implementing a stroke protocol in a timely manner. The correct answer highlights that normal cognitive function is not a criterion for identifying a stroke. In the context of stroke assessment, common symptoms include unilateral arm weakness, slurred speech, and unilateral facial droop. These symptoms indicate impairment and often reflect brain function disturbance, which is a hallmark of stroke conditions. In contrast, normal cognitive function suggests that the brain is functioning adequately in that area, which is not consistent with stroke presentation. Therefore, when assessing a patient for stroke, the presence of cognitive impairment alongside the physical symptoms is more significant in confirming a stroke diagnosis. Understanding these distinctions is vital for effective emergency response and treatment.