07-16-2016, 11:49 PM
24) A 57-year-old woman comes to the physician because of a 3-month history of gradually progressive weakness in the shoulder and hip muscles. She has hypothyroidism treated with thyroxine but is otherwise healthy. Her vital signs are within normal limits. Neurologic examination shows moderate bilateral weakness of the deltoid, biceps, triceps, psoas, glutei, and quadriceps muscles. The remainder of the examination shows no abnormalities. Her erythrocyte sedimentation rate is 85 mm/h, and serum creatinine kinase activity is2456 U/L. Complete blood count and urinalysis are within normal limits. Which of the following is the most appropriate next step in diagnosis?
A ) Quantitative sensory testing
B ) Electromyography and nerve conduction studies
C ) MRI of the spinal cord (wrong answer)
D ) Skin biopsy wrong
E ) Lumbar puncture
Whats the diagnosis for this and some explanation for appropriate next step?
I was thinking Polymyalgia Rheumatica but I guess it is wrong..
A ) Quantitative sensory testing
B ) Electromyography and nerve conduction studies
C ) MRI of the spinal cord (wrong answer)
D ) Skin biopsy wrong
E ) Lumbar puncture
Whats the diagnosis for this and some explanation for appropriate next step?
I was thinking Polymyalgia Rheumatica but I guess it is wrong..