Order myasthenia gravis assessment
A 27-year-old female without past medical history presents with 2 days of pain in her right ear. The
patient notes that the symptoms started with an itchy ear which progressed to pain, discharge, and
hearing loss. Examination reveals an afebrile patient who is nontoxic, with moderate tenderness on
manipulation of the auricle, erythema and edema of the tympanic canal, and no external rash. Cranial
nerve examination is normal. Which of the following will be most helpful in treating this condition?
A. Antihistamines
B. Tympanostomy tubes
C. Systemic antivirals
D. Adenoidectomy
E. Acetic acid otic washes
5. A 35-year-old female without any past medical history presents with a red, painful region on her
right arm where she had a bug bite 3 days before. She denies fever. She is allergic to penicillin. Vital
signs are normal. Physical examination is remarkable for a 10 × 6 cm2 area on her right arm that is
red, warm, tender, and sharply demarcated. There is no lymphangitic streaking or axillary
lymphadenopathy. You diagnose her with cellulitis. Which of the following is the most appropriate
choice of antibiotic?
A. Clindamycin
B. Doxycycline
C. Dicloxacillin
D. Linezolid
E. Metronidazole
6. Clinically significant hypermagnesemia almost always occurs in the setting of:
A. Renal insufficiency
B. Pancreatitis
C. Trauma
D. Laxative abuse
E. Alcoholism
7. Which of the following is true about myasthenia gravis (MG)?
A. Incidence peaks in the eighth decade of life.
B. Sensory deficits are most severe in the lower extremities.
C. The most frequent initial symptom is dysarthria.
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