A patient reports that she has recently had pain and a loss of coordination in her left leg. These symptoms initially began 5 days earlier, gradually worsened for 3 days, but then did not worsen or improve since that time. The speed of onset and nature of
A. Acute vascular problem
B. Subacute degenerative disorder
C. Chronic inflammatory process
D. Subacute inflammatory process
ANS: D
Rationale: The speed of onset of a neurologic complaint can be classified as acute, subacute, or chronic. Acute problems achieve maximal signs and symptoms in minutes to hours and often indicate a vascular problem, whereas subacute problems arise over several days and may indicate an inflammatory process. Chronic problems gradually worsen over a period weeks, months, or years and may suggest either a tumor or degenerative disorder.
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