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General Medicine · Neurology
Sample itemWhich bedside observation should trigger concern for an acute stroke and rapid specialist assessment?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. New facial droop with unilateral arm weakness
Sudden facial asymmetry and unilateral arm weakness are common focal neurological deficits in acute stroke, where urgent assessment is needed because time-sensitive reperfusion treatment may be possible.
Option by option
A. Intermittent earwax symptoms
Earwax symptoms do not indicate a cerebral vascular event.
B. New facial droop with unilateral arm weakness (correct)
Correct: abrupt focal weakness is a classic stroke warning sign.
C. Chronic symmetric knee pain
Symmetric chronic knee pain is not a focal neurological deficit.
D. Gradual toenail thickening
Nail thickening is a dermatologic issue, not acute stroke.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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