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Valid DNACPR — DipIMC MCQ

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ModerateResuscitationValid DNACPRDipIMC

An elderly man is found in cardiac arrest at home with a valid DNACPR form matching his identity and current wishes. There is no trauma. What is the most appropriate management?

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

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Correct answer: D — Do not start CPR and provide supportive care to relatives

Option D is correct because A valid applicable DNACPR decision should be respected with compassionate communication. Option B is less appropriate because watchful waiting risks deterioration or delays definitive care; option E is less appropriate because the clinical risk exceeds that destination or timeframe. Option C is less appropriate because it is plausible in a different scenario but suboptimal for the features described; option A is less appropriate because analgesia is important but not sufficient as the primary intervention. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.

Reference: JRCALC Guidelines; GMC CPR guidance