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Medicine Immunology and Rheumatology aacccaed

Edrophonium test is diagnostic of

A
Myasthenia gravis
B
Lambert Eaton syndrome
C
Ammyotropic lateral sclerosis
D
All
High-Yield Explanation
Ans. a (Myasthenia gravis). (Ref. Harrison, Internal Medicine, 16th ed., 2519)Test for diagnosis of MGCommentsAcetyl Choline Esterase/Tensilon/EdrophoniumTest# Most commonly used rapid test.# Highly probable diagnosis if unequivocally positive.# False positive in ammyotropic lateral sclerosis and placebo reactorsAnti-Ach receptor ab assay# 85% positivity in generalized myasthenia gravis.# 50% positivity in ocular myasthenia gravis.# Definitive diagnosis if positive.Repetitive nerve stimulation test# Highly probable.Single fiber EMG# Confirmatory but non-specific

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