10 free NPTE practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
NPTE Practice Test 4Tutor mode
Question 1 of 10
Neuromuscular & Nervous Systems
A 61-year-old man reports 8 months of progressive right-hand weakness. Examination shows atrophy of the first dorsal interosseous, fasciculations in both forearms, and hyperreflexia in all four limbs. He has no sensory complaints, and MRI shows mild multilevel cervical spondylosis. Which additional finding would MOST strongly support amyotrophic lateral sclerosis rather than cervical myelopathy?