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 Best of Five 2.128

 

   

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BOF: 2.128

A 65-year-old male presents with a history of difficult climbing stairs and combing his hair of a few months duration. He has no major medical problems, has not been on any medication. He smokes 20 cigarettes a day. He has recently retired, he was a taxi driver.

On examination he is found to have no wasting, normal tone, weakness of the muscles of his shoulder and pelvic girdle reflexes are normal

Chest x-ray reveals a shadow in his right lower zone

In this patient what is the likely diagnosis?

a)      Polymyositis

b)      Lambert-Eaton syndrome

c)      Myasthenia gravis

d)      Pancoast syndrome

e)      Polymyalgia rheumatica

 

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