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 Best of Five 131

 

   

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BOF: 131

A 45-year-old male presents with a history of slowly progressive, abnormal movements of his body. His wife reports a change in personality. No family history is available, as the patient had been adopted in infancy.

On examination you observe jerky, semi-purposive movements involving the entire body.  On asking the patient to protrude his tongue you notice that his tongue keeps darting in and out of his mouth. On testing grip strength you notice that he keeps alternately squeezing and releasing pressure on your fingers.

The above clinical features are not caused by :

a)      Thyrotoxicosis

b)      Polycythaemia rubra vera

c)      Systemic lupus erythematosus

d)      Neuroleptic use

e)      Hypothyroidism

 

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