A 60 year old male who has been smoking 20 cigarettes a
day for the last 40 years, presents with fatiguable weakness of the proximal
limb muscles and trunk. There is no ptosis. He complains of a dry mouth, he
has problems with micturition and he has erectile failure.
In this patient the tendon reflexes would be:
a)
Absent and cannot be reinforced by brief maintained isometric
contraction
b)
Absent but may be reinforced by brief maintained isometric contraction
c) Exaggerated
d)
Normal
e)
Pendular