Which of the following is NOT listed as a sign of stroke?

• A. Worst headache ever!
• B. Memory loss
• C. Hemiparysis
• D. Difficulty swallowing

Answer: (B)

In stroke assessment, focus on sudden, focal neurological changes that point to brain involvement. Classic acute signs include one-sided weakness or numbness (often in the face or arm), trouble speaking or understanding speech, sudden trouble with vision, and problems with balance or walking. A sudden, severe headache is also a red flag, especially for hemorrhagic stroke.

Memory loss, by contrast, is not typically listed as an acute stroke sign in EMS guidelines. It can occur with many conditions and isn’t as reliable for recognizing a stroke in the field. The other options align more directly with stroke presentations: a sudden, severe headache can signal a hemorrhagic stroke; unilateral weakness is a hallmark motor deficit; and difficulty swallowing can occur with brain involvement. So memory loss stands out as not being a standard acute stroke sign.