This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Communicable diseases, Subject name: Social & Preventive Medicine
Paralysis in polio is characterized by 
Select and explain. 
A. Exaggerated tendon reflexes, B. Symmetrical paralysis, C. Tonic paralysis, D. Lower motor neurone type
D: Lower motor neurone type
Answer: D: Lower motor neurone type 
Explanation: Types of Paralytic Poliomyelitis Spinal poliomyelitis (MC type) : Lower motor neurone lesion of the anterior horn cells of spinal cord which affects the muscles of the legs, arms and/or trunk asymmetrically Bulbar poliomyelitis: Involvement of lower cranial nerves Bulbospinal poliomyelitis : Involvement of both Bulbar cranial nerves and spinal cord Ref: Hutchinson's Atlas of pediatric physical diagnosis 1st edition Pgno : 271