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DIP – Normal DaTscan — SCE Neurology MCQ

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HardMovement DisordersDIP – Normal DaTscanSCE Neurology

Five days after a large hemispheric stroke, repeated specialist swallowing assessment shows aspiration of all tested consistencies and oral intake cannot meet requirements. Recovery is still plausible but prognosis is uncertain. Which feeding plan best follows NICE?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Start nasogastric feeding for 2–4 weeks before reassessing gastrostomy need

Explanation lettering: B = shown as A · E = shown as B · A = shown as D · D = shown as E

E is correct. Acute post-stroke dysphagia should usually receive early nasogastric feeding, with an initial 2–4-week trial while swallowing prognosis is assessed; gastrostomy is considered when feeding is likely to remain necessary for at least four weeks or NG is not tolerated. A commits too early. B and C deny appropriate enteral nutrition. D contradicts the specialist finding and exposes the patient to aspiration.

Reference: NICE CG32 — nutrition support for adults: https://www.nice.org.uk/guidance/cg32/chapter/Recommendations