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A 32-Year-Old Man Is Brought to the Emergency Department Due

question 721

Multiple Choice

A 32-year-old man is brought to the emergency department due to weakness and tingling that started in his feet and is now at his knees.  A week ago, the patient noticed that his legs felt weak while climbing stairs.  Since then, the weakness has progressively worsened every day.  Today, he fell twice when attempting to walk.  Medical history is insignificant, except for a mild respiratory infection 2 weeks ago that resolved spontaneously.  The patient does not use tobacco, alcohol, or illicit drugs.  He takes no medications.  Vital signs are within normal limits.  Physical examination shows marked weakness in the distal muscles and moderate weakness in the proximal muscles in both legs.  Deep tendon reflexes are absent at the knees.  This patient's condition is most likely associated with which of the following?

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Definitions:

LSD

Lysergic acid diethylamide, a powerful hallucinogenic drug that alters perception, mood, and a variety of cognitive processes.

Marijuana

A psychoactive drug from the Cannabis plant used for medical or recreational purposes.

Same Category

Describes items or entities that belong to a similar group or class based on certain shared characteristics.

Psychological Dependence

The emotional or mental attachment to a substance or behavior, leading to feelings of needing it to maintain psychological well-being.

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