Mr. Smarty Pantz Week 2 questions

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Mr. Smarty Pantz Week 2 questions

Postby Bradford on May 31st, 2004, 8:59 pm

As promised here is the next set of weekly questions. The questions are designed to make you think about things so you can come to a confidence that your symptoms are in fact benign.

I will change things a bit and limit the number of questions to five since ten questions may require too much time and subsequently be of less interest. Your answers can be PPM to me.

1. 312 patients diagnosed with ALS who’s medical records and history were reviewed revealed that 6.7% of patients presented to their doctors initially with muscle fasciculation symptoms. At the conclusion of this study it was found that:

a) 6.7% of individuals with twitching symptoms developed ALS
b) 6.7% of individuals with normal EMG findings may develop ALS
c) In individuals over the age of 45, 6.7% of the these patients symptoms was found to be ALS
d) In correspondence with the Mayo Clinic a conclusion resulted that EMG findings will detect ALS in 6.7% of benign cases.
e) In correspondence with the Mayo Clinic a conclusion that muscle fasciculation is very rare in ALS without weakness and other neurological deficits, but EMG findings are always expected to be abnormal.

2. The following is TRUE about muscle fasciculation and EMG

a) muscle fasciculation is known by the company it keeps
b) muscle fasciculation is always considered benign unless there is an associated
c) muscle fasciculation is insignificant and EMG is used to find other
abnormalities with more significance.

3. In a physical exam, the physician can determine if muscle fasciculation is benign or
malignant. True or False?

4. Babe Ruth would still hold the all time home run record if:

a) they kept stats at the beginning of his career
b) the outfield fenses were as close and they are today
c) walk off home runs were officially scored as a home run
d) a system of better record keeping was implemented in the early years of baseball.

5. In motor neuron disease the body will compensate by regenerating a new neuron in its place. True of False?
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No takers...thats alright!

Postby Bradford on June 3rd, 2004, 12:58 pm

Haven't been getting a lot of response, but a lot of lookers. Which is no thang! I'll keep putting questions out because they make me think about things as well.

Here are the answers:

1. E
2. A (not B because the question reads: fasicualtions and "EMG" not
phsyical exam)
3.F There is no way a physician can truly define if fasics are malignant
or benign by simply observing them.
4.C Walk off home runs to end a game was scored as a "single" with a
RBI back then. Babe Ruth had his share of those to end a game!
5.F There is reinveration that takes place by surviving neurons that
receive a message to branch out to muscle fiber that has lost
connection, but once the neuron dies it will not be replaced.
In ALS, this compensation mechanism will eventually be exhausted
as all motor neurons are lost.
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Postby Brian_B on June 4th, 2004, 1:23 am

I tried to send a private message but guess it didnt send
"The only thing necessary for evil to triumph is for good men to do nothing"
Edmund Burke
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