Weakness and Paralysis (Management) — 58yo Man | Neurology | MCCQE1 Q#13319
MCCQE1 Question #13319
Dimension of Care
Chronic Care
Activity
Management
Objective
Weakness and Paralysis
Section
Medicine / Family Medicine
Subject
Neurology
Last updated: February 2026
A 58-year-old man presents with 3 months of progressive difficulty climbing stairs and rising from a chair. He denies sensory symptoms, back pain, diplopia, dysphagia, or fluctuating weakness. Past history includes type 2 diabetes mellitus and dyslipidemia. Medications are metformin and atorvastatin, started 6 months ago. Examination shows symmetric proximal weakness of hip flexion and shoulder abduction with normal reflexes and intact sensation. No rash is present. Laboratory testing shows markedly elevated creatine kinase and mild transaminitis, with normal thyroid and renal function. What is the most appropriate next step in management?
Full answer analysis and choices are available inside the practice session.
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