A 47-year-old man complains of slowly progressing weakness of both “legs.

ublic health functions and the impact of these resources on population health and the public health system" (p. 181).
January 6, 2020
Although it can be difficult to face the death of a person in your care, you will play a very important role in helping the person and family through this time of transition
January 6, 2020

A 47-year-old man complains of slowly progressing weakness of both “legs.

A 47-year-old man complains of slowly progressing weakness of both “legs.” On examination he has a flaccid paralysis of both lower extremities, muscle fasciculations, hypotonia, and areflexia. In addition, there is loss of pain and temperature sensations over the anterior aspect of both lower extremities and most of the feet but sparing the little toes.

        19.    The flaccid paralysis, fasciculations, hypotonia, and areflexia in this patient are most likely the result of damage to what structures?

a.Lateral corticospinal tracts
b.Posterior (dorsal) roots
c.Anterior (ventral) horn cells and alpha motor neurons
d.Reticulospinal/vestibulospinal tracts
e.Afferent fibers involved in monosynaptic reflexes
 

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