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Post-Stroke Dysphagia – Oral vs Tube — SCE Neurology MCQ

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HardNeurorehabilitationPost-Stroke Dysphagia – Oral vs TubeSCE Neurology

A patient with CIDP has been objectively stable for 18 months on IVIg 1 g/kg every 3 weeks. No previous attempt has tested whether treatment is still required. What is the most appropriate maintenance strategy?

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

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Correct answer: C — Trial a monitored IVIg interval extension with predefined objective relapse and rescue criteria

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

B is correct. Stable patients should periodically have dependency tested by reducing dose, lengthening interval or withdrawing treatment, using objective disability/strength measures and a rescue plan. A risks years of unnecessary blood-product exposure. C omits safe monitoring. D adds toxicity rather than testing need. E replaces effective maintenance with a burdensome procedure without a treatment-failure indication.

Reference: EAN/PNS CIDP guideline — PubMed: https://pubmed.ncbi.nlm.nih.gov/34085743/