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Medicine General cc63fd13

All of the following are features of Friadreich's Ataxia, Except:

A
Prograssive Ataxia is the most common presentation
B
Cardiomyopathy is a common association
C
Diabetes mellitus may be associated
D
Extensor plantar with brisk lower limb reflexes.
High-Yield Explanation
Answer is D (Extensor plantar with brisk lower limb reflexes): Friedreich's Ataxia, is characteristically associated with an extensor plantar response but absent lower limb reflexes. Lower limb reflexes are characteristically absent (in most patients) and not brisk. Cardiomyopathy is a common association seen in up to 90% of patients Diabetes mellitus may be associated in up to 25% of cases Progressive ataxia is the most common presenting symptom.

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