Guillain-Barré Syndrome — SCE Infectious Diseases MCQ

Correct answer: C — Respiratory muscle failure and autonomic instability in suspected Guillain–Barré syndrome

The best answer is “Respiratory muscle failure and autonomic instability in suspected Guillain–Barré syndrome”. The post-infectious areflexic motor syndrome is GBS, where vital capacity, bulbar function, rhythm and blood pressure can deteriorate rapidly. “Fatigable weakness confined to ocular muscles from myasthenia” is less appropriate because it conflicts with the clinical discriminator or cited guidance. “Erythema migrans from Lyme disease” is less appropriate because it conflicts with the clinical discriminator or cited guidance. “Fixed descending paralysis after a home-canned-food exposure” is less appropriate because it conflicts with the clinical discriminator or cited guidance. “Isolated ophthalmoplegia with preserved reflexes as Miller Fisher syndrome” is less appropriate because it conflicts with the clinical discriminator or cited guidance.

Reference: NICE NG220 rehabilitation after traumatic injury recommendations: https://www.nice.org.uk/guidance/ng220