A 33-year-old previously healthy man presents with ascending weakness following a viral respiratory illness two weeks ago. Examination shows symmetric...

Question

A 33-year-old previously healthy man presents with ascending weakness following a viral respiratory illness two weeks ago. Examination shows symmetric weakness in both legs, absent deep tendon reflexes, and normal sensation. Vital capacity is mildly reduced. What is the most appropriate next step in management?

Accepted Answer

Arrange urgent admission for monitoring and intravenous immunoglobulin or plasma exchange

Answer

Reassure and arrange outpatient neurology follow-up

Answer

Start high-dose oral corticosteroids alone

Answer

Start dopamine agonists

Answer

Treat with antibiotics empirically

ca-mccqe1 MCQ (SBA): Guillain-Barré syndrome