General Medicine

20 learning units • 100 chapter sections • 200 explained questions. Assess the patient, choose investigations and build a monitored management plan across adult medical specialties.

Original RAHBAR study material for the Year 4 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 16 / 20

Stroke, TIA & Neurological Deficits

Identify sudden focal deficits, protect time-sensitive treatment opportunities and prevent early complications.

Choose an answer and check it immediately. Change your choice to try again. This is a self-study exercise; results are not saved.

Question 01. Which time is crucial when a patient wakes with a neurological deficit? A. Time breakfast was orderedB. Time of a remote vaccinationC. Last known to be wellD. Time the bed was assigned alone

Question 02. Which bedside test can identify a reversible stroke mimic? A. GlucoseB. Cholesterol aloneC. Routine vitamin D aloneD. Allergy testing

Question 03. Does a negative FAST screen exclude every stroke? A. Yes, universallyB. Only if the patient is youngC. No, some posterior or atypical deficits may be missedD. Yes, if speech is normal

Question 04. What is a primary purpose of urgent brain imaging in suspected stroke? A. Measure long-term medication adherenceB. Prove all deficits are permanentC. Distinguish haemorrhage from ischaemiaD. Replace the onset history

Question 05. What must occur before giving food or drink after acute stroke? A. A normal cholesterol resultB. Swallowing assessmentC. Completion of every rehabilitation sessionD. A routine outpatient hearing test

Question 06. Are thrombolysis and thrombectomy appropriate for every ischaemic stroke? A. Yes, regardless of findingsB. Only age determines eligibilityC. No, eligibility depends on timing, imaging and clinical factorsD. They require no specialist input

Question 07. What should transient focal weakness prompt even after resolution? A. Reassurance without investigationB. Urgent TIA assessmentC. Routine review in a yearD. Diagnosis of anxiety by default

Question 08. Why document anticoagulant use in acute stroke? A. It proves the event cannot be ischaemicB. It affects bleeding and treatment decisionsC. It removes the need for imagingD. It guarantees thrombolysis eligibility

Question 09. New vomiting and neurological deterioration after stroke require what? A. Urgent reassessment for complicationsB. Assuming rehabilitation fatigueC. Unmonitored dischargeD. Ignoring symptoms if the initial scan was reassuring

Question 10. Which condition may require anticoagulation rather than antiplatelet-only prevention after appropriate assessment? A. Every migraineB. Isolated benign vertigoC. Atrial fibrillation-related embolic riskD. A healed peripheral nerve injury

0 / 10 answeredReady for assessment →

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

NICE NG128 — Stroke and TIA

Reference review: 27 September 2026. Consult current local protocols for prescribing, procedures and escalation.