WBR1046

Author	[[PageAuthor::Ahmed Zaghw, M.D. [1]]]
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 he 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 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 next step in management?]]
Answer A	AnswerA::Tensilon test
Answer A Explanation	[[AnswerAExp::Correct-[[]]]]
Answer B	AnswerB::Antibodies to the MUscle specific tyrosine Kinase receptor(MuSK)
Answer B Explanation	[[AnswerBExp::Incorrect-[[]].]]
Answer C	AnswerC::Acetylcholine receptor antibodies
Answer C Explanation	[[AnswerCExp::Incorrect-[[]]]]
Answer D	AnswerD::Repetitive nerve stimulation test
Answer D Explanation	[[AnswerDExp::Incorrect-[[]].]]
Answer E	AnswerE::Chest and neck CT
Answer E Explanation	[[AnswerEExp::Incorrect-[[]]]]
Right Answer	RightAnswer::C
Explanation	[[Explanation::Educational Objective: Educational Objective: References: ]]
Approved	Approved::No
Keyword
Linked Question	Linked::
Order in Linked Questions	LinkedOrder::