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 Best of Five 2.29

 

   

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BOF: 2.29

A 65-year-old male presents with a history of difficulty in walking. On examination there is weakness of the proximal muscles of the lower limbs. The tendon reflexes are depressed but no other neurological deficit is detected.

On further questioning the patient also admits to having a dry mouth, constipation and impotence. He has no diplopia.

In this patient the investigation that is most specific for the condition that he suffers from is:

a)      Anti acetylcholine receptor antibodies (Anti AChR)

b)      Anti Muscle Specific Kinase antibodies (Anti MuSK)

c)      Anti voltage gated calcium channel antibodies

d)      Tensilon test

e)      Chest X-ray

 

 

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