High-risk syncope — DipIMC MCQ

Correct answer: A — Transport for urgent cardiac assessment despite symptom resolution

Option A is correct because Exertional syncope with arrhythmia and family history is high risk for sudden cardiac death. Option B is less appropriate because the clinical risk exceeds that destination or timeframe; option D is less appropriate because pre-alert is needed to mobilise the correct receiving team. Option E is less appropriate because watchful waiting risks deterioration or delays definitive care; option C is less appropriate because unmonitored private transport is unsafe for this risk profile. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.

Reference: JRCALC Guidelines