A 19-year-old man presents with progressive ascending weakness over 3 days following a diarrhoeal illness. Reflexes are absent. Respiratory rate is 24...

Question

A 19-year-old man presents with progressive ascending weakness over 3 days following a diarrhoeal illness. Reflexes are absent. Respiratory rate is 24/min, vital capacity is reduced. What is the most appropriate management?

Accepted Answer

Admit for monitoring of respiratory function and start IV immunoglobulin or plasma exchange after neurology review

Answer

Reassure and discharge with physiotherapy

Answer

Start high-dose steroids alone

Answer

Start long-term oral antibiotics

Answer

Give thrombolysis

uk-plab-1 MCQ (SBA): Guillain–Barré syndrome

A 19-year-old man presents with progressive ascending weakness over 3 days following a diarrhoeal illness. Reflexes are absent. Respiratory rate is 24/min, vital capacity is reduced. What is the most appropriate management?