Best of Five 3.3.

 

   

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BOF:3.3

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

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