Monday, 4 August 2014

Muscle and Soft Tissue Disorder II

by Faratu Najihah

1)   Inherited skeletal muscle disorder

a)       
Duchenne muscular dystrophy (DMD) & Becker muscular dystrophy (BMD) are caused by mutation in dystrophin gene

b)       
BMD is more common and more severe than DMD

c)        
Congenital myopathies are homogenous group of inherited disease and occur in early childhood stage

d)       
Genetic disorders of skeletal muscle include congenital myopathies, congenital muscular dystrophies and muscular dystrophies

e)       
The hallmarks of BMD are myofiber necrosis and regeneration



2)    Clinical features of DMD and BMD
a)       
Clumsiness and muscle weakness are the main symptoms of DMD

b)       
Pseudohyperthrophy, the enlargement of calf muscle indicates DMD

c)        
The progression of BMD is rapid and more fatal

d)       
During degeneration of myofibrils, smooth muscle tissues replace the increasing part of muscles

e)       
BMD onset in late childhood or aldolescence



3)    Liposarcoma is
a)
Commonly occur in children

b)
Arises from subcutaneous tissue

c)
Well-differentiated

d)
Pleomorphic variants and tend to metastasize to lungs

e)
Fatty differentiation, lipoblasts are absent


4)    Myasthenia gravis
a)
Can be transferred from the infected person to animal via airborne

b)
Is associated with thymic hyperplasia and thymoma

c)
Can be treated using immunosuppresion, plasmapheresis and cholinesterase inhibitory drug

d)
Diplopia(double vision) is due to weakness of extraocular muscle

e)
Thymectomy treatment can be applied in the absent of thymic lesions




5)    Leiomyoma
a)
Leiomyoma or fibroid is most common benign tumour in testes in male

b)
Is composed of elongated nuclei and spindle cells intersecting each other at right angles

c)
Large leiomyoma may produce sensation

d)
The risk of malignancy is higher in the present of multiple lesions

e)
Can be detected by the present of menorrhagia or in the absent of metrorrhagia



ANSWER:
1)    a) T     b)F      c)F      d)T      e)T
2)    a) T     b)T      c)F      d)F      e)T
3)    a) F     b)F      c)T      d)T      e)F
4)    a) F     b)T      c)T      d)T      e)F

5)    a) F     b)T      c)T      d)F      e)T

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