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Stroke swallow — DGM MCQ

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EasyStroke and rehabilitationStroke swallowDGM

An 85-year-old man is admitted with left hemiparesis from stroke. He coughs after sips of water and has a wet voice. He has not yet eaten on the ward. Current medicines include amlodipine and metformin. What is the most appropriate assessment?

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Correct answer: C — Swallow screening before oral intake

Coughing and wet voice after stroke suggest dysphagia, so swallow screening is required before oral intake. Normal diet or oral tablets may cause aspiration, PEG is not the immediate first step, and delaying assessment is unsafe. Swallow safety is an early rehabilitation and pneumonia-prevention priority.

Reference: NICE NG236; RCP stroke guideline