A 47-year-old gardener is admitted to hospital with a short history of abnormal behaviour and weakness in both legs.

Question Number 0533

Question:
A 47-year-old gardener is admitted to hospital with a short history of abnormal behaviour and weakness in both legs. He is a homosexual single man. On examination he has paraesthesiae of his thighs and describes the feeling that his knees are made of rubber. What investigation would be most helpful to reach a diagnosis in this individual?

a) Urine for microscopy and culture
b) CT scan
c) IgM antibodies
d) HIV serology
e) ECG


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