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General Medicine · Neurology
Sample itemWhat is the first priority in an adult with suspected acute stroke?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Establish time of onset and arrange urgent brain imaging
Stroke care depends on the onset time and urgent imaging to distinguish ischaemia from haemorrhage and guide time-sensitive management.
Option by option
A. Establish time of onset and arrange urgent brain imaging (correct)
Correct: time and imaging drive acute stroke decisions.
B. Give oral food immediately
Food may be unsafe before a swallow assessment.
C. Start physiotherapy before assessment
Physiotherapy follows stabilisation and assessment.
D. Wait for symptoms to settle overnight
Delay can exclude effective urgent treatment.
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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