MRCP UK EXAMINATIONS

NEUROLOGY

MYOTONIC DYSTROPHY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Someone with myotonic dystrophy will have trouble ____
A
Relaxing muscles
B
Standing up
C
walking
D
running
Explanation: 

Detailed explanation-1: -Myotonic dystrophy is characterized by progressive muscle wasting and weakness. People with this disorder often have prolonged muscle contractions (myotonia) and are not able to relax certain muscles after use. For example, a person may have difficulty releasing their grip on a doorknob or handle.

Detailed explanation-2: -Muscles around the eyes and mouth are often affected first, followed by weakness around the shoulders, chest, and upper arms. A particular pattern of muscle wasting causes the shoulders to appear to be slanted and the shoulder blades to appear winged. Muscles in the lower extremities may also become weakened.

Detailed explanation-3: -Myotonia causes muscle stiffness that can interfere with movement. In some people the stiffness is very mild, while in other cases it may be severe enough to interfere with walking, running, and other activities of daily life.

There is 1 question to complete.