Question

A 30-year-old male presents with normal mentation, sensation, and reflexes but a complaint of proximal limb weakness. Besides weakness, extraocular movements are abnormal, and there is an absence of the pupillary light reflex. What is the MOST likely diagnosis? (A) Botulism. (B) Myasthenia gravis. (C) Acute intermittent porphyria. (D) Tick paralysis.

   A 30-year-old male presents with normal mentation, sensation, and reflexes but a complaint of proximal limb weakness. Besides weakness, extraocular movements are abnormal, and there is an absence of the pupillary light reflex. What is the MOST likely diagnosis?
(A) Botulism.
(B) Myasthenia gravis.
(C) Acute intermittent porphyria.
(D) Tick paralysis.

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Emergency Medicine Examination & Board Review

Emergency Medicine Examination & Board Review

Susan Promes 3rd Edition

Chapter 15, Problem 30

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The complaint of proximal limb weakness, abnormal extraocular movements, and absence of the pupillary light reflex are important clues for the diagnosis. Show more…

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A 30-year-old male presents with normal mentation, sensation, and reflexes but a complaint of proximal limb weakness. Besides weakness, extraocular movements are abnormal, and there is an absence of the pupillary light reflex. What is the MOST likely diagnosis? (A) Botulism. (B) Myasthenia gravis. (C) Acute intermittent porphyria. (D) Tick paralysis.

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