Approach to polyneuropathy Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 70-year-old woman presents to the primary care clinic for evaluation of frequent falls. For several years, the patient has experienced gradually progressive numbness and tingling in both feet, and for the past year, the patient has felt increasingly unsteady. Past medical history is significant for gastroesophageal reflux disease managed with omeprazole and over-the-counter antacids. The patient follows a vegan diet. Temperature is 37.0°C (98.6°F), pulse is 70/min, respirations are 12/min, and blood pressure is 118/72 mmHg. Proprioception and vibration are impaired. There is mild weakness with ankle plantar and dorsiflexion bilaterally. The patient has hyperreflexia and a wide-based gait. Which of the following findings would be expected on workup?

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