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: |
| Approved | Approved::No |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |