Topic module

Stroke, Seizure and Headache Imaging

Use onset, localisation, CT/MR and EEG context to choose time-critical neurological investigations and treatment.

Long-form learning
Concept to Risk to Memory to Check-up

How to prepare for MRCP(UK) Part 2 Written

Use the official likely question distribution to protect breadth, then practise extracting decisive clinical and visual evidence before selecting one best answer.

Core concepts

Concept 1

Last-known-well, deficit, glucose, seizure timing, headache red flags, imaging pattern and contraindications.

Exam cue: Acute stroke, status epilepticus, meningitis, raised intracranial pressure or thunderclap headache.

Concept 2

Stabilise, activate time-dependent treatment, prevent complications and plan secondary prevention or recurrence safety.

Exam cue: Select immediate CT, vascular imaging, MR, lumbar puncture or EEG according to the syndrome and safety.

Risk pitfalls and guardrails

Delaying emergency treatment for a test that will not change the immediate pathway.

Guardrail: Do not delay stabilisation or specialist escalation for a test that will not change immediate care.

Selecting an option that is true in isolation but does not best answer the exact clinical task.

Guardrail: Do not interpret a visual pattern without the modality, clinical context and the exact task in the stem.

Memory anchors

What frames Stroke, Seizure and Headache Imaging?

Last-known-well, deficit, glucose, seizure timing, headache red flags, imaging pattern and contraindications.

Which stroke, seizure and headache imaging findings change urgency?

Acute stroke, status epilepticus, meningitis, raised intracranial pressure or thunderclap headache.

How should investigations be chosen in stroke, seizure and headache imaging?

Select immediate CT, vascular imaging, MR, lumbar puncture or EEG according to the syndrome and safety.

What guides management in stroke, seizure and headache imaging?

Stabilise, activate time-dependent treatment, prevent complications and plan secondary prevention or recurrence safety.

What common error should be avoided in stroke, seizure and headache imaging?

Delaying emergency treatment for a test that will not change the immediate pathway.

Checkpoint rule

Do the check-up only after you can summarize each concept in one sentence and identify one dangerous pitfall from memory.

Knowledge Check (after reading)

Short check-up to confirm understanding of this module.

Check-up Questions

1-2 question checkpoint

A 69-year-old man develops aphasia and right hemiparesis 90 minutes ago. CT excludes haemorrhage and there is no contraindication. What is the immediate reperfusion treatment?

A 74-year-old woman has a left M1 occlusion, NIHSS 18 and favourable perfusion imaging four hours after onset. What treatment offers the best chance of independence?

Answer all questions to submit.

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