A 59-year-old woman with a history of fibromyalgia presents to the emergency department with a

A 59-year-old woman with a history of fibromyalgia presents to the emergency department with a complaint of sudden onset of right arm weakness for the past 3 hours. Initially she could not move her arm at all but has regained some strength. Examination shows intact speech and facial function. Sensation is normal in all limbs. Motor examination shows that the right arm has strength enough to move up off the stretcher. When the physician exerts his full strength downward on her right arm, he cannot push it down. What is the appropriate grade for muscle strength in the left arm? 00 11 22 33 44 55

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