Item 482
A 32-year-old woman has muscle weakness. The chest com puted tomogram (CT) shown is obtained. Which of the fol lowing statements about her condition is NOT true?
Her weakness is likely to improve after treatment with neostigmine, azathioprine, or corticosteroids
It is most likely to be malignant
It may be associated with Cushing’s syndrome, RBC aplasia, hypoproteinemia, and collagen vascular disease
Operation is indicated in this patient
The condition is associated with antibodies to acetyl choline receptors in the muscle
For the critique of item 482 see page 282.
Footnotes
(Reproduced by permission from SESAP ’96–’98 Syllabus Surgical Education and Self-Assessment Program, Volume 2, 9th edition. For enrolment in the Surgical Education and Self-Assessment Program, please apply to the American College of Surgeons, 55 East Erie St., Chicago, IL 60611, USA.)