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General Medicine · Neurology: Guillain-Barre syndrome
Sample itemA patient develops progressive symmetric ascending weakness and areflexia after a diarrheal illness. What is the most likely diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Guillain-Barre syndrome
Guillain-Barre syndrome is an acute immune-mediated polyradiculoneuropathy causing progressive weakness and reduced reflexes, sometimes with autonomic or respiratory compromise. Forced vital capacity should be monitored.
Option by option
A. Multiple sclerosis
Multiple sclerosis produces CNS lesions with different neurological signs.
B. Parkinson disease
Parkinson disease causes bradykinesia and rigidity.
C. Guillain-Barre syndrome (correct)
Correct. Ascending weakness with areflexia is typical.
D. Myasthenia gravis
Myasthenia causes fatigable weakness with preserved reflexes.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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