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Retired NBME 29 Answers

nbme29/Block 1/Question#9 (reveal difficulty score)
A 27-year-old man comes to the emergency ...
Demyelinating Polyneuropathy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: neuro

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submitted by โˆ—namesthegame22(13)
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= GBS. (AI DP) attack of spinal nerve roots. acute, symmetric ascending weakness + hyporeflexia. +/- Autonomic dysfxn +/- sensory sx. LP shows CSF = ^ protein, normal cell counts.

DDx: - Anterior horn degeneration: Polio/SMA (congenital). LMN weakness + decreased reflexes. NOT RAPID ONSET/ASCENTION. NO autonomic or sensory sx.

-Axonal polyneuropathy = spinal nerve root axons. motor sx only or motor + sensory sx. Reflexes preserved. Autonomic sx less likely. Dx: nerve conduction studies.

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