A 52-Year-Old Man Is | Weakness and Paralysis (Management) — 52yo Man | Neurology | MCCQE1 Q#13395
MCCQE1 Question #13395
Dimension of Care
Chronic Care
Activity
Management
Objective
Weakness and Paralysis
Section
Medicine / Family Medicine
Subject
Neurology
Last updated: February 2026
A 52-year-old man is assessed in a neuromuscular clinic for 8 months of progressive symmetric proximal muscle weakness, difficulty rising from a chair, climbing stairs, and mild dysphagia. He has had two near-falls recently and reports increasing fatigue. Past medical history includes hypertension and type 2 diabetes. Neurologic examination shows proximal weakness with preserved sensation, reduced knee reflexes, waddling gait, and mild neck flexor weakness. A chronic neuromuscular disorder is diagnosed, and disease-specific treatment is initiated. Which additional management intervention is most important to address medium- and long-term safety and psychosocial complications?
Full answer analysis and choices are available inside the practice session.
Related questions
- #13444 — A 24-year-old woman presents with 18 hours of persistent vomiting and a new seve...
- #13439 — A 58-year-old man presents with 6 months of progressive difficulty climbing stai...
- #13426 — A 19-year-old woman presents to a university health clinic 24 hours after an elb...
- #13425 — A 52-year-old man presents with 6 months of “weakness.” He no longer mows the la...
- #13417 — A 58-year-old man presents with 6 months of persistent right-sided, high-pitched...
- #13319 — A 58-year-old man presents with 3 months of progressive difficulty climbing stai...