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Exam questionKROK 2Medicine ยท 2023

A 37-year-old woman complains of marked general weakness, edema of the face and hands, rapid fatigability when walking, difficult swallowing, disturbances of the cardiac performance. These signs appeared 11 days after a vacation at the sea side. Objectively, the patient has face erythema, "glasses" sign, edema of the lower leg muscles. Heart sounds are muffled, blood pressure is 100/70 mm Hg. In the blood: ASAT -95U, ALAT -130U, increased activity of aldolase and creatine phosphokinase. What examination will be the most informative in this case?

Answer options

  1. Electrocardiography
  2. Gastroduodenofibroscopy
  3. Test for circulating immune complexes
  4. Electromyography
  5. Muscle biopsy
Correct answer

Muscle biopsy

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