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Progressive Care Nursing PCCN Exam Prep

Category - PCCN

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A known diabetic and hypertensive presented in medical emergency with acute onset of right-sided hemiplegia, altered level of consciousness and inability to speak. On examination, gag reflex was absent, plantars were upgoing and the power on the right side was markedly decreased. What is the likely diagnosis?
  1. Stroke
  2. Epilepsy
  3. Parkinsonism
  4. Dementia
Explanation
Answer- A - Stroke is the likely diagnosis. In cases of hemiplegia, altered level of consciousness, inability to speak and difficulty in swallowing due to loss of gag reflex, the most likely diagnosis would be Stroke. Also, plantar reflex is upgoing in the case of Stroke.
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