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Platinum Cardiac Practice Exam

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Which symptom would lead you to suspect that a stroke is continuing to worsen in a patient with slurred speech and left body paralysis?
Correct Answer:
A radiating pain to the jaw and down the left arm
Explanation:
In stroke care, new or worsening symptoms signal that the patient isn’t stabilizing and may be deteriorating. Radiating chest or jaw pain with left arm involvement points to an acute coronary syndrome or other cardiac event. In a patient with ongoing stroke symptoms, a fresh cardiac issue can worsen overall perfusion and complicate management, making the stroke heavier and more likely to progress. This kind of new systemic symptom would prompt immediate evaluation and treatment to address both the cardiac problem and the evolving neurologic injury. The other options reflect improvement or no new deficit—sudden improvement in speech, decreased facial droop, and a normal gait—so they don’t indicate progression of the stroke.

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