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A 40-year-old male patient presents to their physician with the following history and exam findings:   Subjective reports: 1 week history of progressive numbness and tingling that began in their feet and now extends to mid-thigh bilaterally Noted weakness in hands and bilateral legs 4 days ago as they began dropping items and tripping frequently Currently notes that they feel short of breath with minimal activity  Had a cold 4 weeks prior Objective findings: MMT lower extremities (bilaterally): Ankle Plantarflexion and Dorsiflexion 1/5 Knee Flexion 2/5 Knee Extension and Hip Flexion 3/5 MMT upper extremities (bilaterally): Wrist flexion/extension 2/5 Elbow flexion/extension 3/5 Shoulder Flexion/Abduction 4/5 Reflexes: 1+ in achilles, patella, biceps, brachioradialis, and triceps bilaterally. Which of the following conditions is MOST consistent with this presentation?

A 54-year-old person presents with primary complaints of tachycardia, constipation, urinary incontinence, and heat intolerance. Which type of neuropathy is consistent with this person’s signs and symptoms?

Which diagnosis requires 3 out of 5 of the following criteria to be met? 1. Abdominal obesity 2. Hypertriglyceridemia 3. Reduced HDL cholesterol 4. Hypertension 5. Hyperglycemia    

During a physical therapy treatment session working on circuit training, a patient with multiple sclerosis rapidly demonstrates a deterioration in function including increased spasticity and weakness to the point that they are unable to continue to participate in the session. What is the MOST likely cause of this scenario?

What is the first line medical treatment for chronic inflammatory demyelinating neuropathy (CIDP) in the United States that is also safe to use long-term?

Which of the following is a common sign or symptom of peripheral neuropathy?

When considering the comprehensive examination and treatment plan for a person that has a neurodegenerative disease such as multiple sclerosis or amyotrophic lateral sclerosis, who is the MOST important person to make ultimate decisions about their care? 

Which of the following tests is the “gold standard” for diagnosing diabetic neuropathy?

A 48-year-old man presents with 9-week history of progressive sensory loss of all extremities affecting distal and proximal areas. He notes numbness and tingling in all extremities. He also notes weakness in his legs worse than his arms that began 6 weeks ago and makes it more difficult to walk due to tripping. He denies any shortness of breath and has not had any recent viral infections.  Physical Exam and Lab Findings: Diminished sensation (light touch, vibration, sharp/dull) throughout bilateral upper and lower extremities Weakness in bilateral ankles (2+/5 MMT ankle DF, unable to perform single leg heel raise bilaterally) Reflexes 1+ in upper and lower extremities bilaterally Lumbar puncture: Elevated protein levels in CSF Which of the following diagnoses is MOST consistent with this presentation?

A physical therapist in an outpatient clinic is working with a patient in the early chronic / recovery phase of Guillain-Barre Syndrome. The patient notes that they had increased fatigue, muscle aches, and numbness in their legs for 3 days after their last therapy session where you introduced body-weight squats for 10 repetitions. What is the MOST appropriate action to take this session?