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question from nbme 16 - kath2329
#1
a 12 year ild boy is brought to the physician because of a 6 month history of difficulty walking and leg pain. physical examination shows mild ateophy of the lower extremities and hammer toes. he walks with a high stepping gait. examination of a nerve biopsy specimen from this patient will most likely show which of thw following findings?
a) abnormal myelin sheaths
b) abscence of schwann cell (wrong)
c) degeneration of astrocytes
d) degeneration of igodendrocytes
e) lymphocytic infiltration
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#2
Abnormal myelin sheath
Diagnosis is charcot mary tooth disease and clue is hammer toes and high stepping gait
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#3
thanks!
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