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Stroke cognitive assessment — DGM MCQ

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ModerateStroke and rehabilitationStroke cognitive assessmentDGM

An 82-year-old woman after stroke struggles with medication management and cooking. She scores well on a brief memory test but has poor planning and sequencing. Her family worry about home safety. Current medicines include clopidogrel and ramipril. What is the most appropriate assessment?

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

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Correct answer: EOccupational therapy and executive function assessment

Post-stroke cognitive impairment may affect executive function despite preserved memory, so functional and occupational therapy assessment is needed. A normal memory score alone does not prove safe independence; malingering, colonoscopy and stopping rehabilitation are inappropriate. Cognition after stroke should be assessed in relation to real tasks.

Reference: NICE NG236