Stroke Secondary Prevention – Comprehensive — SCE Neurology MCQ
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Correct answer: B — Comprehensive prevention addressing antithrombotics blood pressure lipids lifestyle and all other vascular risks
The best answer is “Comprehensive prevention addressing antithrombotics blood pressure lipids lifestyle and all other vascular risks”. Recurrent risk is multifactorial, so a mechanism-specific plan should address all modifiable risks rather than a single intervention. “Treat lipids first and defer all other risks for six months” is plausible in a different neurological context, but the decisive findings here argue against it. “Use antiplatelet therapy as the only prevention required” is plausible in a different neurological context, but the decisive findings here argue against it. “Avoid blood-pressure treatment permanently after any stroke” is plausible in a different neurological context, but the decisive findings here argue against it. “Start anticoagulation in every patient regardless of rhythm or mechanism” is plausible in a different neurological context, but the decisive findings here argue against it.
Reference: Royal College of Physicians National Clinical Guideline for Stroke: https://www.strokeguideline.org/