Neurology: practice question

A General Medicine question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Medicine · Neurology

Sample item

A patient arrives 2 hours after the onset of right-sided weakness and aphasia. CT shows no haemorrhage. What is the most appropriate treatment?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Intravenous alteplase (thrombolysis)

In acute ischaemic stroke, intravenous thrombolysis within 4.5 hours of onset (for eligible patients) after excluding haemorrhage improves outcome. Aspirin is given after the thrombolysis window decision. Heparin and steroids have no role in acute stroke.

Option by option

  • A. Heparin infusion

    Heparin infusion increases bleeding risk without improving outcome in acute stroke.

  • B. Intravenous alteplase (thrombolysis) (correct)

    Correct. Early thrombolysis restores perfusion to the salvageable penumbra.

  • C. Aspirin alone

    Aspirin alone would be reserved for patients not eligible for thrombolysis.

  • D. Corticosteroids

    Steroids do not help cerebral infarction.

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.

More General Medicine questions

Questions about this General Medicine question

What is the answer to this General Medicine question?

The best answer is B, Intravenous alteplase (thrombolysis). In acute ischaemic stroke, intravenous thrombolysis within 4.

Why is "Heparin infusion" not the answer?

Heparin infusion increases bleeding risk without improving outcome in acute stroke.

Why is "Aspirin alone" not the answer?

Aspirin alone would be reserved for patients not eligible for thrombolysis.

Why is "Corticosteroids" not the answer?

Steroids do not help cerebral infarction.

What concept does this question test?

It tests Neurology in General Medicine. 5 hours of onset (for eligible patients) after excluding haemorrhage improves outcome. Aspirin is given after the thrombolysis window decision. Heparin and steroids have no role in acute stroke.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Neurology?

For each disease know the classic presentation, the best test, and the first-line treatment. Then use the flashcards and the other General Medicine questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.