2 Days Of Progressive | Weakness and Paralysis (Management) — 58yo Man | Nephrology | MCCQE1 Q#13423
MCCQE1 Question #13423
Dimension of Care
Acute Care
Activity
Management
Objective
Weakness and Paralysis
Section
Medicine / Family Medicine
Subject
Nephrology
Last updated: February 2026
A 58-year-old man presents to the emergency department with 2 days of progressive generalized weakness and difficulty rising from a chair. He reports nausea and decreased appetite but no chest pain, dyspnea, or focal neurologic deficits. His medications include ramipril and spironolactone for heart failure. Physical examination shows symmetric proximal muscle weakness without sensory loss, and reflexes are slightly decreased diffusely. ECG shows peaked T waves. What is the most appropriate immediate management?
Full answer analysis and choices are available inside the practice session.
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