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Muscle Disease/Neuromuscular junction
Test 4 Sem 2
23
Medical
Graduate
02/27/2011

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Cards

Term
dystrophinopathies are a deficiency of dystrophin protein which does what?
Definition
anchors F-actin to plasma membrane of muscle
Term
What are the 2 forms of dystrophinopathies characterized by clumsy gait, calf hypertrophy, muscle weakness?
Definition
1) Duchenne muscle dystrophy
2) Becker muscular dystrophy
Term
What is the most common adult muscular dystrophy?
Definition
myotonic dystrophy
Term
What are some findings with myotonic dystrophy?
Definition
1) ptosis of eyelids
2) atrophy of masseter and temporal muscles
3) slowing of muscle relaxation
Term
What disorder has axillary lines, webbed neck, scapula prominence and foot drop (anterior tibial muscle involvement)
Definition
facioscapulohumeral muscular dystrophy
Term
What is used to diagnosis malignant hyperthermia?
Definition
caffeine-halothane contraction test on muscle biopsy
Term
What is the most common neuromuscular transmission disorder?
Definition
myasthenia gravis
Term
What is the antigen against with myasthenia gravis?
Definition
AChR (acetylcholine receptors)
Term
Symptoms are often better at what time of day with myasthenia gravis?
Definition
morning
Term
What is the tensilon test?
Definition
injected into muscle, improvement-MG
Term
What is the first line treatment in Myasthenia gravis?
Definition
Prednisone
Term
Antibodies are against what with Lambert-Eaton myasthenic syndrome?
Definition
voltage-sensitive calcium channels
Term
Lambert-Eaton syndrome is often associated with what?
Definition
small cell lung cancer
Term
What is found with DTRs with myasthenia gravis and Lambert-Eaton?
Definition
MA-normal relflexes
LE-hyporeflexia
Term
Lou-Gehrig disease is caused by what?
Definition
loss of motor neurons in the ventral horn, motor cortex, and brain stem motor nuclei
Term
Upper motor neuron finding include what?
Definition
1) clonus
2) hyperreflexia
Term
Lower motor neuron findings include what?
Definition
1) atrophy
2) weakness
3) fasiculations
Term
Lower motor neuron findings include what?
Definition
1) atrophy
2) weakness
3) fasiculations
Term
What 2 things are essential for diagnosis of Lou Gehrig's disease?
Definition
1) EMG studies demonstrating active denervation in 3 extremities and paraspinal muscles
2) normal nerve conduction studies
Term
What do you want to observe for with rhabdomyolysis?
Definition
compartment syndrome
Term
What drug prolongs survival of Lou Gehrig disease by 4 months?
Definition
riluzole
Term
Is Lou Gehrig's disease associated w/dementia?
Definition
No-not classically
Term
What 4 things precipitate periodic paralysis?
Definition
1) Cold
2) Carbs
3) Alcohol
4) Exercise
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