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Ahmed Zaghw (talk | contribs) (Created page with "{{WBRQuestion |QuestionAuthor={{AZ}} |Prompt=A |Explanation= '''Educational Objective:''' |AnswerA= |AnswerAExp='''Incorrect'''-[[]] |AnswerB= |AnswerBExp='''Incorrect'''-[...") |
Ahmed Zaghw (talk | contribs) No edit summary |
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{{WBRQuestion | {{WBRQuestion | ||
|QuestionAuthor={{AZ}} | |QuestionAuthor={{AZ}} | ||
|Prompt=A | |Prompt=A 45 year old female comes to the clinic with a weakness and not feeling well. She has been in bad mood since she has lost her two sons in car accident two months ago. Since then, she has been worrying alot about of issues in her life. She has sought a psychiatric consultation for the frequent nightmares, emotional breakdown and panic attacks. She also noticed that he has difficulty raising his right eyelid for the last 6 weeks. His medical history is significant for a rheumatoid arthritis has failed to respond to DMARDs for the last 3 years. she drinks a couple beers at weekends. She does not smoke nor take illicit drugs. Her medications are Etanercept, analgesics and Fluxetine. The physical examination shows a ptosis of right eye lid, however the extraocular muscles movement are intact. The full neurological examination does not reveal any abnormality. What would be the best confirmatory test to diagnose the disease ? | ||
|Explanation= | |Explanation='''Educational Objective:'''<ref name="www.uptodate.com">{{Cite web | last = | first = | title = Diagnosis of myasthenia gravis | url = http://www.uptodate.com/contents/diagnosis-of-myasthenia-gravis?source=search_result&search=eaton+lambert+myasthenia&selectedTitle=4~150 | publisher = | date = | accessdate = }}</ref> | ||
|AnswerA=Antibodies to the MUscle specific tyrosine Kinase receptor(MuSK) | |||
|AnswerA= | |||
|AnswerAExp='''Incorrect'''-[[]] | |AnswerAExp='''Incorrect'''-[[]] | ||
|AnswerB= | |AnswerB=Tensilon test | ||
|AnswerBExp='''Incorrect'''-[[]]. | |AnswerBExp='''Incorrect'''-[[]]. | ||
|AnswerC= | |AnswerC=Acetylcholine receptor antibodies | ||
|AnswerCExp='''Correct'''-[[]] | |AnswerCExp='''Correct'''-[[]] | ||
|AnswerD=Repetitive nerve stimulation test | |||
|AnswerDExp='''Incorrect'''-[[]]. | |AnswerDExp='''Incorrect'''-[[]]. | ||
|AnswerE= | |AnswerE=Single-fiber electromyography | ||
|AnswerEExp='''Incorrect'''-[[]] | |AnswerEExp='''Incorrect'''-[[]] | ||
|RightAnswer=C | |RightAnswer=C | ||
|Approved=No | |Approved=No | ||
}} | }} |
Revision as of 04:31, 27 January 2014
Author | [[PageAuthor::Ahmed Zaghw, M.D. [1]]] |
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Exam Type | ExamType:: |
Main Category | |
Sub Category | |
Prompt | [[Prompt::A 45 year old female comes to the clinic with a weakness and not feeling well. She has been in bad mood since she has lost her two sons in car accident two months ago. Since then, she has been worrying alot about of issues in her life. She has sought a psychiatric consultation for the frequent nightmares, emotional breakdown and panic attacks. She also noticed that he has difficulty raising his right eyelid for the last 6 weeks. His medical history is significant for a rheumatoid arthritis has failed to respond to DMARDs for the last 3 years. she drinks a couple beers at weekends. She does not smoke nor take illicit drugs. Her medications are Etanercept, analgesics and Fluxetine. The physical examination shows a ptosis of right eye lid, however the extraocular muscles movement are intact. The full neurological examination does not reveal any abnormality. What would be the best confirmatory test to diagnose the disease ?]] |
Answer A | AnswerA::Antibodies to the MUscle specific tyrosine Kinase receptor(MuSK) |
Answer A Explanation | [[AnswerAExp::Incorrect-[[]]]] |
Answer B | AnswerB::Tensilon test |
Answer B Explanation | [[AnswerBExp::Incorrect-[[]].]] |
Answer C | AnswerC::Acetylcholine receptor antibodies |
Answer C Explanation | [[AnswerCExp::Correct-[[]]]] |
Answer D | AnswerD::Repetitive nerve stimulation test |
Answer D Explanation | [[AnswerDExp::Incorrect-[[]].]] |
Answer E | AnswerE::Single-fiber electromyography |
Answer E Explanation | [[AnswerEExp::Incorrect-[[]]]] |
Right Answer | RightAnswer::C |
Explanation | [[Explanation::Educational Objective:[1] Educational Objective: |
Approved | Approved::No |
Keyword | |
Linked Question | Linked:: |
Order in Linked Questions | LinkedOrder:: |