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Question

Which one of the following is true regarding asymmetrical motor diabetic neuropathy?

This question was previously asked in
UPSC CMS 2026 Surgery, Gynaecology & Obstetrics, and PSM Question Paper (02-Aug-2026)
The correct answer is

Weakness and wasting of proximal muscles of lower limbs

Asymmetrical motor diabetic neuropathy (diabetic amyotrophy/lumbosacral radiculoplexus neuropathy) classically presents with severe pain followed by weakness and wasting of the proximal lower limb muscles (quadriceps, iliopsoas), usually asymmetric. It is typically painful (not painless), reflexes are diminished rather than hyperactive, and glucocorticoids are not the established treatment of choice.

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Important Questions from Neuropathies

  1. Consider the following clinical features : 

    1. Hypomimia 

    2. Dysphonia 

    3. Festination gait 

    4. Cogwheel rigidity 

    Which of the features given above are generally present in Parkinsonism?

  2. Circuits between the basal ganglia and the motor cortex constitute the extra pyramidal system which controls muscle tone, body posture and the initiation of movement. Lesions of the extra pyramidal system present clinically with :
  3. Consider the following statements regarding Transient Global Amnesia (TGA): 

    1. TGA mainly affects middle aged persons who present with abrupt, discrete loss of anterograde memory lasting for few hours. 

    2. During the episode, the patients are unable to record new memories resulting in repetitive questioning. 

    3. Consciousness is impaired during the episode and the patient is unable to perform even simple motor functions. 

    4. After 4-6 hours, memory function and behaviour return to normal but the patient has complete and persistent amnesia for the duration of the episode. 

    Which of the statements given above are correct?

  4. Which of the following correctly describes the primary position of the right eye in right 3rd cranial nerve palsy?
  5. Which one of the following distinguishes axonal degeneration from segmental demyelination on electrophysiological studies?
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