A 72-year-old male is driving with his wife to McDonald’s. Suddenly, he begins to swerve the car to the right and

hits a lamppost. On presentation to the emergency room, his wife reports that he has a history of high cholesterol (treated with appropriate medication), high blood pressure, and cigarette smoking. On exam, he is found to have left hemiparesis, left hemisory loss, and left-sided neglect. His vital signs show a blood pressure of 180/96 mmHg and an irregular pulse of 110. The most likely diagnosis is:

A Left middle cerebral artery stroke
B Cerebellar stroke
C Transient ischemic attack (TIA)
D Right middle cerebral artery stroke
E Right anterior cerebral artery stroke

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