MRCP UK EXAMINATIONS

NEUROLOGY

PERIPHERAL NEUROPATHY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Most common clinical feature of GBS is tingling and loss of sensation and loss of reflexes
A
T
B
F
C
Either A or B
D
None of the above
Explanation: 

Detailed explanation-1: -A pins and needles sensation in your fingers, toes, ankles or wrists. Weakness in your legs that spreads to your upper body. Unsteady walking or inability to walk or climb stairs. Difficulty with facial movements, including speaking, chewing or swallowing.

Detailed explanation-2: -Reflexes are absent or reduced early in the disease course. Hyporeflexia or areflexia of involved areas represents a major clinical finding on examination of the patient with GBS. Pathologic reflexes, such as the Babinski sign, are absent. Hypotonia can be observed with significant weakness.

Detailed explanation-3: -The first symptoms of Guillain-Barré syndrome include weakness or tingling sensations. They usually start in the legs, and can spread to the arms and face. For some people, these symptoms can lead to paralysis of the legs, arms, or muscles in the face.

Detailed explanation-4: -This causes weakness. Most GBS cases usually start a few days or weeks following a respiratory or gastrointestinal viral infection. Occasionally surgery will trigger the syndrome.

There is 1 question to complete.