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Acute stroke — DGM MCQ

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EasyStroke and rehabilitationAcute strokeDGM

A 79-year-old man develops sudden right-sided weakness and expressive dysphasia at breakfast. Symptoms started 45 minutes ago and persist. Capillary glucose is 6.1 mmol/L. Current medicines include apixaban history unclear. What is the most appropriate referral?

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Correct answer: B — Emergency stroke pathway referral

Sudden focal neurological deficit within the thrombolysis/thrombectomy window requires emergency stroke pathway assessment. Routine neurology, falls, memory and community physiotherapy pathways would delay acute treatment and imaging. Time of onset and glucose are key early details in suspected stroke.

Reference: NICE stroke guidance; NICE NG236